Cheri Carlson Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHERI CARLSON CHIROPRACTIC LLC

Practice address

2177 Troop Dr
Sartell, MN 56377-4563

Phone

(320) 257-8266

NPI assigned

Aug 18, 2008

Organization subpart

Yes

Parent organization

CHERI CARLSON CHIROPRACTIC LLCAs reported in NPPES

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

Authorized official

Name

Dr. Cheryl J Carlson, DCNPI 1790713774

Title

Owner

Phone

(320) 257-8266

Specialties & licenses 1

Addresses

Other names 1

• Synergy Chiropractic & Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Part of

Cheri Carlson Chiropractic

Locations

Practitioners 1

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

• Cheryl J Carlson, D.C

  • Chiropractor
  • Sartell, MN
  • NPI 1790713774
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1821244237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 TROOP DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774563",
            "telephone_number": "320-257-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 TROOP DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774563",
            "telephone_number": "320-257-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERI CARLSON CHIROPRACTIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHERI CARLSON CHIROPRACTIC LLC",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-257-8266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.