Individual provider Active NPI

Joan Rosalie Arbour, D.C.

  • Chiropractor
  • Roseville, MN
National Provider Identifier
1861699852
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3362 Issued in MN
Practice address
2353 Rice St
Suite 210
Roseville, MN 55113-3739
Phone
(651) 203-0040
Fax
(651) 486-7594
NPI assigned
Jul 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3362 MN Primary

Addresses

Primary practice location

2353 Rice St
Suite 210
Roseville, MN 55113-3739

Mailing address

8636 Summer Wind Alcove
Woodbury, MN 55125-4806
Phone (651) 702-1265

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
3362MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lo Medical Clinic Past Accepting new patients
Hugo Chiropractic Clinic Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861699852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8636 SUMMER WIND ALCOVE",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254806",
            "telephone_number": "651-702-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 RICE ST",
            "address_2": "SUITE 210",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133739",
            "telephone_number": "651-203-0040",
            "fax_number": "651-486-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBOUR",
        "first_name": "JOAN",
        "middle_name": "ROSALIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.