Penney Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PENNEY FAMILY CHIROPRACTIC, LLC

Practice address

401 Broadway St S
Jordan, MN 55352-1701

Phone

(952) 492-5253

Fax

(952) 456-6966

NPI assigned

Jan 14, 2014

Organization subpart

No

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

Authorized official

Name

Hollie Penney, DCNPI 1831430297

Title

Owner

Phone

(952) 492-5253

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

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

• Hollie Penney, D.C.

  • Chiropractor
  • Jordan, MN
  • NPI 1831430297

  MN

  Medicare reassignment Care Compare group Authorized official
• Scott Charles Penney, D.C.

  • Chiropractor
  • Jordan, MN
  • NPI 1821331117

  MN

  Medicare reassignment Care Compare group
• Jacob William Morgan, D.C.

  • Chiropractor
  • Austin, MN
  • NPI 1467686261
  NPD (past)

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1679995427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BROADWAY ST S",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521701",
            "telephone_number": "952-492-5253",
            "fax_number": "952-456-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BROADWAY ST S",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521701",
            "telephone_number": "952-492-5253",
            "fax_number": "952-456-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNEY FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "PENNEY",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-492-5253",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Awale Mohamed
• Fredrick K Mokaya
• Oak Terrace Senior Housing of Jordan
• Diana Olsen, LAMFT
• April Orr
• Hollie Penney, D.C.
• Scott Charles Penney, D.C.
• Liza Antoinette Jain Phu, M.D.
• Amanda Preiner, OTR/L
• Kiirsten Rakers, BS

• All providers in Jordan, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.