Organization Active NPI

Simply Chiropractic, P.a.

  • Clinic/Center
  • Lake Elmo, MN
National Provider Identifier
1760629992
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4045 Issued in MN
Legal business name
SIMPLY CHIROPRACTIC, P.A.
Practice address
10037 Tapestry Rd
Lake Elmo, MN 55042-6000
Phone
(612) 207-3112
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Amy Abrams, D.C.
Title
Owner
Phone
(612) 207-3112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4045 MN Primary

Addresses

Primary practice location

10037 Tapestry Rd
Lake Elmo, MN 55042-6000

Mailing address

10037 Tapestry Rd
Lake Elmo, MN 55042-6000
Phone (612) 207-3112

National Provider Directory

National Provider Directory

Locations

4886 Highway 61 N
Ste 201
White Bear Lake, MN 55110
Phone (651) 762-4757

Practitioners & affiliated clinicians

Practitioners 2

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": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1760629992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10037 TAPESTRY RD",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550426000",
            "telephone_number": "612-207-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10037 TAPESTRY RD",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550426000",
            "telephone_number": "612-207-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-207-3112",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "4045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elmo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.