Organization Active NPI

Overstad Chiropractic,P.a.

  • Chiropractor
  • Coon Rapids, MN
National Provider Identifier
1740555143
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003258 Issued in MN
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

Updated by the provider on Mar 19, 2012

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.