Arch Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5407 Issued in MN

Legal business name

ARCH CHIROPRACTIC P.C.

Practice address

2800 University Ave SE
Suite 103
Minneapolis, MN 55414-3232

Phone

(612) 354-7783

Fax

(612) 354-7806

NPI assigned

Apr 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Leo Raymond Gonsowski III, D.C.

Title

Owner

Phone

(612) 354-7783

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1740579598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 UNIVERSITY AVE SE",
            "address_2": "SUITE 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143232",
            "telephone_number": "612-354-7783",
            "fax_number": "612-354-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 UNIVERSITY AVE SE",
            "address_2": "SUITE 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143232",
            "telephone_number": "612-354-7783",
            "fax_number": "612-354-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "GONSOWSKI",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-354-7783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.