Organization Active NPI

Total Healthcare & Physical Medicine, PLLC

  • Chiropractor
  • Roseville, MN
National Provider Identifier
1871924910
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5842 Issued in MN
Legal business name
TOTAL HEALTHCARE & PHYSICAL MEDICINE, PLLC
Practice address
2151 Hamline Ave N
Suite 111
Roseville, MN 55113-4236
Phone
(651) 636-5560
Fax
(651) 636-4406
NPI assigned
Nov 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Mrs. Jennifer Dawn Norine
Title
Administrator
Phone
(651) 636-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 5842 MN Primary

Addresses

Primary practice location

2151 Hamline Ave N
Suite 111
Roseville, MN 55113-4236

Mailing address

2151 Hamline Ave N
Suite 111
Roseville, MN 55113-4236
Phone (651) 636-5560

National Provider Directory

National Provider Directory
Tax ID family
Total Healthcare and Physical Medicine PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1871924910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 HAMLINE AVE N",
            "address_2": "SUITE 111",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134236",
            "telephone_number": "651-636-5560",
            "fax_number": "651-636-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 HAMLINE AVE N",
            "address_2": "SUITE 111",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134236",
            "telephone_number": "651-636-5560",
            "fax_number": "651-636-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTHCARE & PHYSICAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "NORINE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-636-5560",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5842",
            "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 Nov 27, 2013; 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.