Pearson Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5017 Issued in MN

Legal business name

PEARSON CHIROPRACTIC CLINIC

Practice address

4444 W 76TH St Ste 100
Edina, MN 55435-5181

Phone

(952) 835-4772

Fax

(952) 835-4604

NPI assigned

Jun 19, 2009

Last updated

Jun 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scot A. Pearson, D.C.NPI 1548355787

Title

Owner

Phone

(952) 835-4772

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scot A. Pearson, D.C.

  • Chiropractor
  • Edina, MN
  • NPI 1548355787
  Authorized official Same address or phone

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1811124563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 W 76TH ST STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355181",
            "telephone_number": "952-835-4772",
            "fax_number": "952-835-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W 76TH ST STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355181",
            "telephone_number": "952-835-4772",
            "fax_number": "952-835-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARSON CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-835-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2670",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PDR Southdale, Inc
• Lauren Peabody, L.AC
• Peake Psychological Services
• Sara Pearce, APRN CNM IBCLC
• Pearle Vision Inc (Pearle Vision #C6706)
• Andrew Graham Pearson, DDS
• Bradley L Pearson, D.D.S.,M.S.
• Scot A. Pearson, D.C.
• Cortney Pederson, MSW LICSW
• Erin Therese Pederson, CNP, FNP-C

• Chiropractor in Edina, MN
• Providers in Edina, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.