Princeton Back and Neck Clinic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1677 Issued in MN

Legal business name

PRINCETON BACK AND NECK CLINIC PA

Practice address

209 Rum River Dr N
Suite 2
Princeton, MN 55371-1609

Phone

(763) 631-2225

NPI assigned

May 9, 2012

Last updated

May 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Craig Vanhooser, D.C.NPI 1124198148

Title

President

Phone

(763) 631-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Craig Vanhooser, DC

  • Chiropractor
  • Princeton, MN
  • NPI 1124198148
  Medicare reassignment NPD Authorized official
• Khristian Constant Horak, DC

  • Chiropractor
  • Princeton, MN
  • NPI 1548058217
  Medicare reassignment NPD

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1699034850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 RUM RIVER DR N",
            "address_2": "SUITE 2",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553711609",
            "telephone_number": "763-631-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 RUM RIVER DR N",
            "address_2": "SUITE 2",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553711609",
            "telephone_number": "763-631-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON BACK AND NECK CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "VANHOOSER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-631-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "350004181",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Joanne Peterson, MD
• Jeremy John Peterson, MD
• Robert Peterson, CSFA
• Chelsea Jean Petras, LADC
• Positive Changes Counseling Services LLC
• Princeton Chiropractic Clinic LLC
• Princeton Chiropractic Office PA
• Princeton Mobility and Medical Products
• Project Forward Inc (Project Forward)
• Zahn Raubenheimer, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.