Organization Active NPI

Brooklyn Center Sports & Injury

  • Chiropractor
  • Brooklyn Center, MN
National Provider Identifier
1780055632
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6099 Issued in MN
Legal business name
BROOKLYN CENTER SPORTS & INJURY
Practice address
6300 Shingle Creek Pkwy
Suite 110
Brooklyn Center, MN 55430-2124
Phone
(612) 444-3308
Fax
(612) 444-3309
NPI assigned
Oct 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Dr. Robert Kleinfeld, DC
Title
President
Phone
(561) 881-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6099 MN Primary

Addresses

Primary practice location

6300 Shingle Creek Pkwy
Suite 110
Brooklyn Center, MN 55430-2124

Mailing address

PO Box 9287
Riviera Beach, FL 33419-9287
Phone (561) 881-3003

National Provider Directory

National Provider Directory

Locations

6300 Shingle Creek Pkwy
Ste 110
Minneapolis, MN 55430
Phone (763) 566-3798

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1780055632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9287",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334199287",
            "telephone_number": "561-881-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 SHINGLE CREEK PKWY",
            "address_2": "SUITE 110",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302124",
            "telephone_number": "612-444-3308",
            "fax_number": "612-444-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN CENTER SPORTS & INJURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "KLEINFELD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-881-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.