NPIMap

Organization Active NPI

Premier Life Chiropractic P.a.

  • Chiropractor
  • Apple Valley, MN
National Provider Identifier
1689979098
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5341 Issued in MN
Legal business name
PREMIER LIFE CHIROPRACTIC P.A.
Practice address
7000 151St St W
Apple Valley, MN 55124-5985
Phone
(952) 431-2220
Fax
(952) 431-2882
NPI assigned
Jan 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Dr. Lance D Stromberg, D.C.NPI 1881910180
Title
President
Phone
(952) 431-2220

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5341 MN Primary

Addresses

Primary practice location

7000 151St St W
Apple Valley, MN 55124-5985

Mailing address

7000 151St St W
Apple Valley, MN 55124-5985
Phone (952) 431-2220

National Provider Directory

National Provider Directory

Locations

7000 151st St W
Apple Valley, MN 55124
Phone (952) 431-2220

Practitioners & affiliated clinicians

Practitioners 1

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": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1689979098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 151ST ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245985",
            "telephone_number": "952-431-2220",
            "fax_number": "952-431-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 151ST ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245985",
            "telephone_number": "952-431-2220",
            "fax_number": "952-431-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER LIFE CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "STROMBERG",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-431-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.