Organization Active NPI

Parker Chiropractic PA

  • Chiropractor
  • Hastings, MN
National Provider Identifier
1790944973
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3207 Issued in MN
Legal business name
PARKER CHIROPRACTIC PA
Practice address
1320 S Frontage Rd
Ste 102
Hastings, MN 55033
Phone
(651) 480-2200
Fax
(651) 480-1551
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Dr. William L Parker, DCNPI 1386751147
Title
Chiropractor
Phone
(651) 480-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3207 MN Primary

Addresses

Primary practice location

1320 S Frontage Rd
Ste 102
Hastings, MN 55033

Mailing address

1320 S Frontage Rd
Ste 102
Hastings, MN 55033
Phone (651) 480-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080808000489 MN Part B Supplier - Clinic/Group Practice 5496829459 Receives reassigned benefits from 1 practitioner
Practice locations: Hastings, MN

National Provider Directory

National Provider Directory

Locations

1320 S Frontage Rd
Ste 102
Hastings, MN 55033
Phone (651) 480-2200

Practitioners & affiliated clinicians

Practitioners 1

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": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1790944973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 S FRONTAGE RD",
            "address_2": "STE 102",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "55033",
            "telephone_number": "651-480-2200",
            "fax_number": "651-480-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S FRONTAGE RD",
            "address_2": "STE 102",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "55033",
            "telephone_number": "651-480-2200",
            "fax_number": "651-480-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "651-480-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.