Central Avenue Spine & Rehab, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CENTRAL AVENUE SPINE & REHAB, INC

Practice address

931 20TH Ave NE
Minneapolis, MN 55418-4652

Phone

(612) 789-0833

NPI assigned

Jan 16, 2008

Organization subpart

No

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

Authorized official

Name

Buffie Rome

Title

Business Office Manager

Phone

(504) 467-0302

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1700062098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 VETERANS BOULEVARD",
            "address_2": "SUITE 200",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70062",
            "telephone_number": "504-467-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 20TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184652",
            "telephone_number": "612-789-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL AVENUE SPINE & REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "ROME",
        "authorized_official_first_name": "BUFFIE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "504-467-0302"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.