Organization Active NPI

Kendrick Chiropractic Clinic LTD.

  • Chiropractor
  • Scandia, MN
National Provider Identifier
1740325299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1508 Issued in MN
Legal business name
KENDRICK CHIROPRACTIC CLINIC LTD.
Practice address
21080 Olinda TRL N
Box 4
Scandia, MN 55073-9492
Phone
(651) 433-5750
Fax
(651) 433-5750
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leland James Kendrick, DCNPI 1528103041
Title
Chiropractor
Phone
(651) 433-5750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1508 MN Primary

Addresses

Primary practice location

21080 Olinda TRL N
Box 4
Scandia, MN 55073-9492

Mailing address

21080 Olinda TRL N
Box 4
Scandia, MN 55073-9492
Phone (651) 433-5750

National Provider Directory

National Provider Directory

Locations

21080 Olinda Trl N
Ste 4
Scandia, MN 55073
Phone (651) 433-5750

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740325299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21080 OLINDA TRL N",
            "address_2": "BOX 4",
            "city": "SCANDIA",
            "state": "MN",
            "postal_code": "550739492",
            "telephone_number": "651-433-5750",
            "fax_number": "651-433-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21080 OLINDA TRL N",
            "address_2": "BOX 4",
            "city": "SCANDIA",
            "state": "MN",
            "postal_code": "550739492",
            "telephone_number": "651-433-5750",
            "fax_number": "651-433-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRICK CHIROPRACTIC CLINIC LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "651-433-5750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scandia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.