Organization Active NPI

Penman Chiropractic

  • Clinic/Center
  • Stillwater, MN
National Provider Identifier
1871786277
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1299 Issued in MN
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

Updated by the provider on Aug 20, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3883155MedicaidWI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.