NPIMap

Organization Active NPI

Princeton Chiropractic Office PA

  • Chiropractor
  • Princeton, MN
National Provider Identifier
1861564130
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
43 Issued in MN
Legal business name
PRINCETON CHIROPRACTIC OFFICE PA
Practice address
501 4TH St S
Princeton, MN 55371-2031
Phone
(763) 389-4411
Fax
(763) 389-4412
NPI assigned
Nov 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Robert Gibbs, DCNPI 1053483370
Title
President
Phone
(763) 389-4411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 43 MN Primary

Addresses

Primary practice location

501 4TH St S
Princeton, MN 55371-2031

Mailing address

501 4TH St S
Princeton, MN 55371-2031
Phone (763) 389-4411

National Provider Directory

National Provider Directory

Locations

501 4th St S
Princeton, MN 55371
Phone (763) 389-4411

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861564130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 4TH ST S",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553712031",
            "telephone_number": "763-389-4411",
            "fax_number": "763-389-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 4TH ST S",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553712031",
            "telephone_number": "763-389-4411",
            "fax_number": "763-389-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON CHIROPRACTIC OFFICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-389-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "43",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.