NPIMap

Organization Active NPI

Jonathan Taffe

  • Chiropractor
  • Apple Valley, MN
National Provider Identifier
1821326257
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4900 Issued in MN
Legal business name
JONATHAN TAFFE
Practice address
14501 Granada Dr
Suite 101
Apple Valley, MN 55124-6315
Phone
(952) 431-3003
Fax
(952) 431-3016
NPI assigned
Nov 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Dr. Jonathan James Taffe, D.C.
Title
Owner
Phone
(952) 431-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4900 MN Primary

Addresses

Primary practice location

14501 Granada Dr
Suite 101
Apple Valley, MN 55124-6315

Mailing address

14501 Granada Dr
Suite 101
Apple Valley, MN 55124-6315
Phone (952) 431-3003

Other identifiers 1

IdentifierTypeStateIssuer
21913000MedicaidMN

Other names 1

  • Apple Valley Chiropractic & Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Apple Valley Chiropractic Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1821326257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 GRANADA DR",
            "address_2": "SUITE 101",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246315",
            "telephone_number": "952-431-3003",
            "fax_number": "952-431-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 GRANADA DR",
            "address_2": "SUITE 101",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246315",
            "telephone_number": "952-431-3003",
            "fax_number": "952-431-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN TAFFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "TAFFE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-431-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21913000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Valley Chiropractic & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.