Active NPI
Penman Chiropractic
- Clinic/Center
- Stillwater, MN
National Provider Identifier
1871786277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 1299
- Legal business name
- PENMAN CHIROPRACTIC
- Practice address
- 5898 Omaha Ave N
Stillwater, MN 55082-4383 - Phone
- (651) 439-2709
- Fax
- (651) 439-7553
- NPI assigned
- Aug 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William James Penman, D.C.
- Title
- Dr of Chiropractic
- Phone
- (651) 439-2709
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 1299 | MN | Primary |
Addresses
Primary practice location
5898 Omaha Ave N
Stillwater, MN 55082-4383
Mailing address
5898 Omaha Ave N
Stillwater, MN 55082-4383
Phone (651) 439-2709
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3883155 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187568000000",
"number": "1871786277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5898 OMAHA AVE N",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550824383",
"telephone_number": "651-439-2709",
"fax_number": "651-439-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5898 OMAHA AVE N",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550824383",
"telephone_number": "651-439-2709",
"fax_number": "651-439-7553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENMAN CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A",
"authorized_official_last_name": "PENMAN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "DR OF CHIROPRACTIC",
"authorized_official_telephone_number": "651-439-2709",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MN",
"license": "1299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3883155",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.