NPIMap

Organization Active NPI

Mankato Chiropractic River'S Edge

  • Chiropractor
  • Saint Peter, MN
National Provider Identifier
1801033931
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3058 Issued in MN
Legal business name
MANKATO CHIROPRACTIC RIVER'S EDGE
Practice address
1900 N Sunrise Dr
Ste 100
Saint Peter, MN 56082-5376
Phone
(507) 345-4035
Fax
(507) 345-4122
NPI assigned
Jan 12, 2009
Organization subpart
Yes
Parent organization
MANKATO CHIROPRACTIC CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Teresa L Marshall, DC
Title
Owner
Phone
(507) 345-4035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3058 MN Primary

Addresses

Primary practice location

1900 N Sunrise Dr
Ste 100
Saint Peter, MN 56082-5376

Mailing address

1900 N Sunrise Dr
Ste 100
Saint Peter, MN 56082-5376
Phone (507) 345-4035

National Provider Directory

National Provider Directory
Part of
Mankato Chiropractic Ce

Locations

1900 Sunrise Dr
Ste 100
Saint Peter, MN 56082
Phone (507) 345-4035

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1801033931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N SUNRISE DR",
            "address_2": "STE 100",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560825376",
            "telephone_number": "507-345-4035",
            "fax_number": "507-345-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N SUNRISE DR",
            "address_2": "STE 100",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560825376",
            "telephone_number": "507-345-4035",
            "fax_number": "507-345-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANKATO CHIROPRACTIC RIVER'S EDGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANKATO CHIROPRACTIC CENTER",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-345-4035",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.