Active NPI
Overstad Chiropractic,P.a.
- Chiropractor
- Coon Rapids, MN
National Provider Identifier
1740555143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 003258
- Legal business name
- OVERSTAD CHIROPRACTIC,P.A.
- Practice address
- 1425 Coon Rapids Blvd NW
Coon Rapids, MN 55433-5386 - Phone
- (612) 802-2580
- Fax
- (763) 755-4600
- NPI assigned
- Mar 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Rachel Harstad, DC
- Title
- Executive Director
- Phone
- (612) 802-2580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 003258 | MN | Primary |
Addresses
Primary practice location
1425 Coon Rapids Blvd NW
Coon Rapids, MN 55433-5386
Mailing address
1425 Coon Rapids Blvd NW
Coon Rapids, MN 55433-5386
Phone (612) 802-2580
National Provider Directory
National Provider DirectoryLocations
1425 Coon Rapids Blvd NW
Coon Rapids, MN 55433
Phone (612) 802-2580
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Coon Rapids, MN
- NPI 1841560109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332115200000",
"number": "1740555143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 COON RAPIDS BLVD NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335386",
"telephone_number": "612-802-2580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 COON RAPIDS BLVD NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335386",
"telephone_number": "612-802-2580",
"fax_number": "763-755-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OVERSTAD CHIROPRACTIC,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-19",
"last_updated": "2012-03-19",
"status": "A",
"authorized_official_last_name": "HARSTAD",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "RACHEL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "612-802-2580",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "003258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.