Eagan Family Chiropractic & Massage

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EAGAN FAMILY CHIROPRACTIC & MASSAGE

Practice address

1260 Yankee Doodle Road
Suite 100
Eagan, MN 55121

Phone

(651) 405-3990

Fax

(651) 454-8577

NPI assigned

Nov 17, 2010

Organization subpart

No

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

Authorized official

Name

Shelly Marie Recer, DCNPI 1730302647

Title

President

Phone

(651) 405-3990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Shelly Marie Smith Recer, DC

  • Chiropractor
  • Eagan, MN
  • NPI 1730302647
  Medicare reassignment Care Compare group NPD Authorized official
• Lance Matthew Glaser, DC

  • Chiropractor
  • Cottage Grove, MN
  • NPI 1699801076
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1851692289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 YANKEE DOODLE ROAD",
            "address_2": "SUITE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "651-405-3990",
            "fax_number": "651-454-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 YANKEE DOODLE ROAD",
            "address_2": "SUITE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "651-405-3990",
            "fax_number": "651-454-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGAN FAMILY CHIROPRACTIC & MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "RECER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-405-3990",
        "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": []
}

• Eagan Child and Family Care, P.a.
• Eagan Chiropractic, P.a.
• Eagan Counseling Clinic
• Eagan Dental Associates Dba Northwood Dental
• Eagan Eye Clinic LLC
• Eagan Family Dentistry
• Eagan Hope Wellness Services LLC
• Eagan Ops LLC
• Eagan Orthopedic Surgery Center LLC
• Eagan Pointe Senior Living

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.