Individual provider Active NPI

Tory Malcolm Robson, DC

  • Chiropractor
  • Eden Prairie, MN
National Provider Identifier
1851488845
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4473 Issued in MN
Practice address
8345 Crystal View Rd
Suite 100
Eden Prairie, MN 55344-5368
Phone
(952) 943-2440
Fax
(952) 943-2400
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4473 MN Primary

Addresses

Primary practice location

8345 Crystal View Rd
Suite 100
Eden Prairie, MN 55344-5368

Mailing address

8345 Crystal View Rd
Suite 100
Eden Prairie, MN 55344-5368
Phone (952) 943-2440

Other identifiers 1

IdentifierTypeStateIssuer
387R77ROOtherMNBCBS MINNESOTA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4473MNMDMarriage & Family Therapist
3314WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tieri Chiropractic, LLC Chiropractor PastSince Nov 11, 2003 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1851488845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 CRYSTAL VIEW RD",
            "address_2": "SUITE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445368",
            "telephone_number": "952-943-2440",
            "fax_number": "952-943-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8345 CRYSTAL VIEW RD",
            "address_2": "SUITE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445368",
            "telephone_number": "952-943-2440",
            "fax_number": "952-943-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBSON",
        "first_name": "TORY",
        "middle_name": "MALCOLM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MINNESOTA",
            "identifier": "387R77RO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.