Corcoran Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4779 Issued in MN

Legal business name

CORCORAN FAMILY CHIROPRACTIC, LLC

Doing business as

Your Family Healthcare

Practice address

89 W 9TH St
Zumbrota, MN 55992-1255

Phone

(952) 239-9880

NPI assigned

Dec 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nicholle Diane Diedrich, DC

Title

Owner

Phone

(952) 239-9880

Specialties & licenses 1

Addresses

Other names 1

• Your Family Healthcare Doing business as

Locations

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687651200000",
    "number": "1689910291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 W 9TH ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "55992",
            "telephone_number": "952-239-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 W 9TH ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559921255",
            "telephone_number": "952-239-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORCORAN FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A",
        "authorized_official_last_name": "DIEDRICH",
        "authorized_official_first_name": "NICHOLLE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-239-9880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Your Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie Brengman, RDN/LD
• Michael S Brengman, RPH
• Madeline Eve Bridge, CTRS
• Megan Carlson
• Cascade Care Services, Inc
• Covered Bridge Family Resources LLC
• Emily M Daligga, MD
• David Allen Danielson
• Daves Transport LLC
• Matthew Robert Gadient, L.P.T.

• Chiropractor in Zumbrota, MN
• Providers in Zumbrota, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.