Central Chiropractic & Acupuncture, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2616 Issued in MN

Legal business name

CENTRAL CHIROPRACTIC & ACUPUNCTURE, P.A.

Practice address

1342 81St Ave NE
Spring Lake Park, MN 55432-2116

Phone

(763) 784-3916

Fax

(763) 784-3829

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Alan Kohout, D.C.

Title

President/Owner

Phone

(763) 784-3916

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1710902028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 81ST AVE NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554322116",
            "telephone_number": "763-784-3916",
            "fax_number": "763-784-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 81ST AVE NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554322116",
            "telephone_number": "763-784-3916",
            "fax_number": "763-784-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CHIROPRACTIC & ACUPUNCTURE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "KOHOUT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "763-784-3916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2616",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "114",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "4C916KO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha R Arlandson, ED.S., NCSP
• Muath A Asamarai, D.D.S.
• Mujahid Abdulwahab Asamarai
• Kathleen June Bousu, RN IBCLC
• Vednita Carter, MD
• Alexandra Kathryn Chapman, MA, LMFT
• Aaron Jonathan Close, LPCC, LADC
• Kyle Partridge Cold
• Cliff Dahlberg, MSW, LGSW, LADC
• Deanne Den Hartog, LMFT

• Chiropractor in Spring Lake Park, MN
• Providers in Spring Lake Park, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.