Plum Creek Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4362 Issued in MN

Legal business name

PLUM CREEK CHIROPRACTIC PA

Practice address

24875 Panama Ave
Elko, MN 55020-9485

Phone

(952) 461-3675

Fax

(952) 461-3675

NPI assigned

Jul 29, 2009

Last updated

Jul 29, 2009By 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. Cynthia Shepard, D.C.NPI 1255474904

Title

President

Phone

(952) 461-3675

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Cynthia L Shepard, D.C.

  • Chiropractor
  • Elko, MN
  • NPI 1255474904
  Authorized official Same address or phone

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1720219447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24875 PANAMA AVE",
            "city": "ELKO",
            "state": "MN",
            "postal_code": "550209485",
            "telephone_number": "952-461-3675",
            "fax_number": "952-461-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24875 PANAMA AVE",
            "city": "ELKO",
            "state": "MN",
            "postal_code": "550209485",
            "telephone_number": "952-461-3675",
            "fax_number": "952-461-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUM CREEK CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-461-3675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Catherine Breyer
• Tammy Iszler-Johnson
• Lubovich Chiropractic, P.a.
• Kelly Marie Martin, CPM, LM
• Petersen Dental Clinic PA (Elko-New Market Dental Clinic)
• Rudolph Community and Care LLC
• Ronald Joseph Schumacher, CRNA
• Cynthia L Shepard, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.