Champlin Family Chiropractic LLC

Key facts

NPI

1790922045

Entity type

Organization (NPI type 2)

Primary specialty

Chiropractor 111N00000X

License

4911 (MN)

Legal business name

CHAMPLIN FAMILY CHIROPRACTIC LLC

Practice address

11452 Jefferson CT
Champlin, MN 55316-2737

Phone

(763) 427-5545

Fax

(763) 427-5565

NPI assigned

Jan 8, 2009

Organization subpart

No

Authorized official

Name

Dr. David Leland Fandrich, D.C.

Title

President

Phone

(763) 427-5545

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurie J Anderson, DC DABCO Chiropractor · Ham Lake, MN · NPI 1548343288
  NPD (past) CHIROPRACTOR
• Dean Bechard, DC Chiropractor · Champlin, MN · NPI 1245415777
  NPD (past) CHIROPRACTOR

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 23, 2009.

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1790922045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11452 JEFFERSON CT",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162737",
            "telephone_number": "763-427-5545",
            "fax_number": "763-427-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11452 JEFFERSON CT",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162737",
            "telephone_number": "763-427-5545",
            "fax_number": "763-427-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPLIN FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "FANDRICH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LELAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-427-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champlin, MN

• Saturia Massah Cappard, PMHNP
• Care Mobility LLP
• Glen P Carlson, MD
• Anne M Carroll, LMFT
• Champlin Dentistry, PC
• Champlin Family Dental PA
• Champlin Shores LLC
• Charity Care Inc Professional Service Corporation
• Rita Marie Cortese, M.D.
• Elizabeth Maureen Coyne

All providers in Champlin, MN · Chiropractor in Minnesota