Organization Active NPI

Swanson Family Chiropractic, P.a.

  • Chiropractor
  • Edina, MN
National Provider Identifier
1881749059
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4131 Issued in MN
Legal business name
SWANSON FAMILY CHIROPRACTIC, P.A.
Practice address
4010 W 65TH St
Suite 123
Edina, MN 55435-1721
Phone
(952) 922-9513
Fax
(952) 922-8469
NPI assigned
Jan 25, 2007
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. Sara Swanson, D.C.
Title
President
Phone
(952) 922-9513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4131 MN Primary

Addresses

Primary practice location

4010 W 65TH St
Suite 123
Edina, MN 55435-1721

Mailing address

4010 W 65TH St
Suite 123
Edina, MN 55435-1721
Phone (952) 922-9513

Other identifiers 1

IdentifierTypeStateIssuer
078J1SWOtherMNBCBS

National Provider Directory

National Provider Directory

Locations

4010 W 65th St
Ste 123
Edina, MN 55435
Phone (612) 927-9936

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881749059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 W 65TH ST",
            "address_2": "SUITE 123",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351721",
            "telephone_number": "952-922-9513",
            "fax_number": "952-922-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 W 65TH ST",
            "address_2": "SUITE 123",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351721",
            "telephone_number": "952-922-9513",
            "fax_number": "952-922-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANSON FAMILY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-922-9513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "078J1SW",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, 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.