Organization Active NPI

Devries Spine Care PLLC

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1700499308
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DEVRIES SPINE CARE PLLC
Practice address
4748 Chicago Ave Ste 10
Minneapolis, MN 55407-4311
Phone
(612) 492-1961
NPI assigned
Aug 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Dr. Ryne David Devries, DC
Title
Owner
Phone
(952) 200-6152

Specialties & licenses 1

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

Addresses

Primary practice location

4748 Chicago Ave Ste 10
Minneapolis, MN 55407-4311

Mailing address

3606 W 44TH St
Minneapolis, MN 55410-1366
Phone (952) 200-6152

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://clinic.devriesspinecare.com/interface/main/tabs/main.php?token_main=0B8NfT1RKNqZy3cpzEO3hzWA Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1700499308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 W 44TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101366",
            "telephone_number": "952-200-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4748 CHICAGO AVE STE 10",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074311",
            "telephone_number": "612-492-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVRIES SPINE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "RYNE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-200-6152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://clinic.devriesspinecare.com/interface/main/tabs/main.php?token_main=0B8NfT1RKNqZy3cpzEO3hzWA",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4748 Chicago Ave Ste 10",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554074311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.