Organization Active NPI

Bend in the River Chiropractic, LLC

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1881894343
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1995 Issued in MN
Legal business name
BEND IN THE RIVER CHIROPRACTIC, LLC
Practice address
2021 E Hennepin Ave Ste 137
Minneapolis, MN 55413-2723
Phone
(612) 676-0438
Fax
(612) 395-5247
NPI assigned
Jul 23, 2007
Last updated
Aug 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Marina Lisa Proudfoot, D.C.NPI 1467529560
Title
CHF Mananger, Ceo, Sec Governor
Phone
(612) 676-0438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1995 MN Primary

Addresses

Primary practice location

2021 E Hennepin Ave Ste 137
Minneapolis, MN 55413-2723

Mailing address

PO Box 18305
Minneapolis, MN 55418-0305
Phone (612) 676-0438

National Provider Directory

National Provider Directory

Locations

2021 E Hennepin Ave
Ste 137
Minneapolis, MN 55413
Phone (612) 676-0438

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": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1881894343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18305",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554180305",
            "telephone_number": "612-676-0438",
            "fax_number": "612-395-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E HENNEPIN AVE STE 137",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132723",
            "telephone_number": "612-676-0438",
            "fax_number": "612-395-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND IN THE RIVER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "PROUDFOOT",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "CHF MANANGER, CEO, SEC GOVERNOR",
        "authorized_official_telephone_number": "612-676-0438",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.