Spandl Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6187 Issued in MN

Legal business name

SPANDL CHIROPRACTIC P.C.

Practice address

518 2ND Ave NE
Staples, MN 56479-2930

Phone

(218) 894-1077

Fax

(218) 894-0553

NPI assigned

Sep 7, 2016

Organization subpart

No

Name

Dr. Brockston Anthony Spandl, D.C.

Title

Owner, Doctor Or Chiropractic

Phone

(218) 894-1077

• Brockston Anthony Spandl Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 17, 2017.

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1730636747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 2ND AVE NE",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564792930",
            "telephone_number": "238-894-1077",
            "fax_number": "218-894-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 2ND AVE NE",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564792930",
            "telephone_number": "218-894-1077",
            "fax_number": "218-894-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANDL CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "SPANDL",
        "authorized_official_first_name": "BROCKSTON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER, DOCTOR OR CHIROPRACTIC",
        "authorized_official_telephone_number": "218-894-1077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brockston Anthony Spandl",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Staples, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.