NPIMap

Organization Active NPI

Cedar Creek Family Chiropractic PA

  • Chiropractor
  • St. Cloud, MN
National Provider Identifier
1780807883
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4838 Issued in MN
Legal business name
CEDAR CREEK FAMILY CHIROPRACTIC PA
Practice address
203 Cooper Avenue North
Suite #160
St. Cloud, MN 56303-4446
Phone
(320) 310-4000
Fax
(320) 253-1575
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Mrs. Faith A. Schumann, DC
Title
Ceo
Phone
(320) 310-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4838 MN Primary

Addresses

Primary practice location

203 Cooper Avenue North
Suite #160
St. Cloud, MN 56303-4446

Mailing address

203 Cooper Avenue North
Suite #160
St. Cloud, MN 56303-4446
Phone (320) 310-4000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1780807883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 COOPER AVENUE NORTH",
            "address_2": "SUITE #160",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "563034446",
            "telephone_number": "320-310-4000",
            "fax_number": "320-253-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 COOPER AVENUE NORTH",
            "address_2": "SUITE #160",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "563034446",
            "telephone_number": "320-310-4000",
            "fax_number": "320-253-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREEK FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "SCHUMANN",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-310-4000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.