Organization Active NPI

Quandtum Family Chiropractic

  • Chiropractor
  • Roseville, MN
National Provider Identifier
1881718708
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2965 Issued in MN
Legal business name
QUANDTUM FAMILY CHIROPRACTIC
Practice address
2780 Snelling Ave N
Suite 301
Roseville, MN 55113-7115
Phone
(651) 633-9668
Fax
(651) 633-4203
NPI assigned
Mar 17, 2007
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. Mark E. Quandt, D.C.NPI 1558428250
Title
Owner
Phone
(651) 633-9668

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 2965 MN Primary

Addresses

Primary practice location

2780 Snelling Ave N
Suite 301
Roseville, MN 55113-7115

Mailing address

2780 Snelling Ave N
Suite 301
Roseville, MN 55113-7115
Phone (651) 633-9668

National Provider Directory

National Provider Directory

Locations

2780 Snelling Ave N
Ste 301
Roseville, MN 55113
Phone (651) 633-9667

Practitioners & affiliated clinicians

Practitioners 1

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": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881718708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 SNELLING AVE N",
            "address_2": "SUITE 301",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137115",
            "telephone_number": "651-633-9668",
            "fax_number": "651-633-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 SNELLING AVE N",
            "address_2": "SUITE 301",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137115",
            "telephone_number": "651-633-9668",
            "fax_number": "651-633-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANDTUM FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUANDT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-633-9668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2965",
            "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 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.