Organization Active NPI

Eagan Chiropractic, P.a.

  • Chiropractor
  • Eagan, MN
National Provider Identifier
1891961645
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3225 Issued in MN
Legal business name
EAGAN CHIROPRACTIC, P.A.
Practice address
1565 Cliff Road
Suite 7
Eagan, MN 55122-2574
Phone
(651) 688-0462
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Michael Fleischhacker, D.C.
Title
President
Phone
(651) 688-0462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3225 MN Primary

Addresses

Primary practice location

1565 Cliff Road
Suite 7
Eagan, MN 55122-2574

Mailing address

1565 Cliff Road
Suite 7
Eagan, MN 55122-2574

Other identifiers 1

IdentifierTypeStateIssuer
280428000MedicaidMN

National Provider Directory

National Provider Directory

Locations

1654 Diffley Rd
Ste 100
Eagan, MN 55122
Phone (651) 456-8670

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1891961645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 CLIFF ROAD",
            "address_2": "SUITE 7",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 CLIFF ROAD",
            "address_2": "SUITE 7",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222574",
            "telephone_number": "651-688-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGAN CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "FLEISCHHACKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-688-0462",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280428000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.