Mustang Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC3629 Issued in MN

Legal business name

MUSTANG CHIROPRACTIC

Practice address

11500 Highway 7
Suite 201
Minnetonka, MN 55305-5173

Phone

(612) 760-4555

Fax

(952) 933-2673

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Sarah A Workman, DC

Title

Owner

Phone

(612) 760-4555

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1891974911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 HIGHWAY 7",
            "address_2": "SUITE 201",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055173",
            "telephone_number": "612-760-4555",
            "fax_number": "952-933-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 HIGHWAY 7",
            "address_2": "SUITE 201",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055173",
            "telephone_number": "612-760-4555",
            "fax_number": "952-933-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTANG CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-760-4555",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "DC3629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN STATE LIC#",
            "identifier": "DC3629",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN#",
            "identifier": "V73159",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP#",
            "identifier": "01B13MU",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID#",
            "identifier": "01B14WO",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI#",
            "identifier": "1790838332",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HSM ID#",
            "identifier": "562",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Murray, FNP-BC
• Zoe Musa
• Brittany Lee Musielak, DNP, FNP-BC
• Anzal Ilyas Musse
• Zunduz Ilyas Musse
• MW Minnetonka Operating LLC
• Shelley Marie Mydra, M.A., LMFT
• Jennifer Long Myers, FNP-C
• Sunni Jean Myers, MS, LADC
• Nadel Enterprises

• Chiropractor in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.