Boulevard Natural Healing Arts, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2840 Issued in MN

Legal business name

BOULEVARD NATURAL HEALING ARTS, PA

Practice address

6142 Brooklyn Blvd
Brooklyn Center, MN 55429-4032

Phone

(763) 566-9330

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By 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

Jeanne Masanz, DCNPI 1366597759

Title

President

Phone

(763) 566-9330

Specialties & licenses 1

Addresses

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.

• Jeanne Masanz, DC

  • Chiropractor
  • Brooklyn Center, MN
  • NPI 1366597759
  NPD (past) Authorized official
• David Monson, DC

  • Chiropractor
  • Brooklyn Center, MN
  • NPI 1831244235
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699820662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6142 BROOKLYN BLVD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554294032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6142 BROOKLYN BLVD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554294032",
            "telephone_number": "763-566-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD NATURAL HEALING ARTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASANZ",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-566-9330",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gammachis Bokku
• Amy M Bonifas, MD
• Serena Bonorden
• Martha Bordwell, PHD
• Fatna Bougataia
• Bourne Wellness Center LLC
• Jalaya Bouye
• Jennifer Sue Boyd, MA, LMFT
• Brady Alexander Brabec
• Trae C Bracy

• Chiropractor in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.