Centre for Upper Cervical Chiropractic Care LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CENTRE FOR UPPER CERVICAL CHIROPRACTIC CARE LLC

Practice address

6776 Lake Dr
Suite 210
Lino Lakes, MN 55014-1156

Phone

(651) 784-7515

Fax

(651) 784-7313

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marie Rose Josee Gerard, D.C.

Title

Owner

Phone

(651) 784-7515

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1750573929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 LAKE DR",
            "address_2": "SUITE 210",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141156",
            "telephone_number": "651-784-7515",
            "fax_number": "651-784-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 LAKE DR",
            "address_2": "SUITE 210",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141156",
            "telephone_number": "651-784-7515",
            "fax_number": "651-784-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE FOR UPPER CERVICAL CHIROPRACTIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "MARIE ROSE",
        "authorized_official_middle_name": "JOSEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-784-7515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.