Robert T. Thiry

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1472 Issued in MN

Legal business name

ROBERT T. THIRY

Practice address

1608 W 155TH St
Burnsville, MN 55306-5308

Phone

(612) 695-4890

NPI assigned

Dec 20, 2006

Last updated

Dec 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert T Thiry, D.C.NPI 1780747428

Title

President

Phone

(612) 695-4890

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Robert T Thiry, D.C.

  • Chiropractor
  • Burnsville, MN
  • NPI 1780747428
  NPD (past) Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1750445417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3047",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553378047",
            "telephone_number": "612-695-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 W 155TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065308",
            "telephone_number": "612-695-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT T. THIRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "THIRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-695-4890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "350610864",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR INDIVIDUAL",
            "identifier": "1780747428",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29064TH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River Ridge, LLC
• River Ridge, LLC
• River Ridge, LLC
• Seville Kierra Rivera
• Kailianna Rivet
• Brandi Roberts
• Jeremy Roberts, BCBA
• Mady Roberts
• Robinson Consulting Services LLC
• Sarah Robinson-Hudson, PSYD, M.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.