Longfellow Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6176 Issued in MN

Legal business name

LONGFELLOW CHIROPRACTIC PLLC

Practice address

2901 Dorman Ave
Minneapolis, MN 55406-1837

Phone

(612) 618-6571

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

Kevin Venerus

Title

Owner

Phone

(612) 618-6571

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1780040352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 DORMAN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061837",
            "telephone_number": "612-618-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 DORMAN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061837",
            "telephone_number": "612-618-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGFELLOW CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "VENERUS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-618-6571"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Long
• Shelton Long
• William Long, MD
• Yolanda Long, ADC-T
• Terrence F Longe, MD
• Stephen R Longman, DC
• Elizabeth W Longrie
• Agnieszka Longtine
• John E. Lonstein, M.D.
• Daniel Edward Lontkowski, LICSW

• 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 Jan 12, 2016; 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.