NPIMap

Organization Active NPI

Flynn Brown Chiropractic, SC

  • Chiropractor
  • Victoria, MN
National Provider Identifier
1679940712
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5437 Issued in MN
Legal business name
FLYNN BROWN CHIROPRACTIC, SC
Practice address
1405 78TH St Ste 100
Victoria, MN 55386-9723
Phone
(952) 443-3710
Fax
(952) 443-3761
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin Flynn-Brown, DCNPI 1487958575
Title
Co-Owner
Phone
(651) 600-2540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 5437 MN Primary
Pediatric ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NP0017X 5451 MN

Addresses

Primary practice location

1405 78TH St Ste 100
Victoria, MN 55386-9723

Mailing address

1405 78TH St Ste 100
Victoria, MN 55386-9723
Phone (952) 443-3710

Other names 1

  • ABC Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150921002491 MN Part B Supplier - Clinic/Group Practice 0749597938 Receives reassigned benefits from 2 practitioners
Practice locations: Maple Plain, MN; Victoria, MN

National Provider Directory

National Provider Directory

Locations

8000 Rose St
Victoria, MN 55386
Phone (952) 443-3710

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1679940712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 78TH ST STE 100",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553869723",
            "telephone_number": "952-443-3710",
            "fax_number": "952-443-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 78TH ST STE 100",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553869723",
            "telephone_number": "952-443-3710",
            "fax_number": "952-443-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLYNN BROWN CHIROPRACTIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "FLYNN-BROWN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "651-600-2540",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5437",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MN",
            "license": "5451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.