NPIMap

Organization Active NPI

Robbinsdale Chirocenter Inc.

  • Chiropractor
  • Robbinsdale, MN
National Provider Identifier
1912079534
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2266 Issued in MN
Legal business name
ROBBINSDALE CHIROCENTER INC.
Practice address
4926 42ND Ave N
Robbinsdale, MN 55422-1731
Phone
(763) 537-3927
Fax
(763) 537-1421
NPI assigned
Nov 15, 2006
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. John T Allenburg, D.C.NPI 1467534651
Title
President
Phone
(763) 537-3927

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 2266 MN Primary

Addresses

Primary practice location

4926 42ND Ave N
Robbinsdale, MN 55422-1731

Mailing address

4926 42ND Ave N
Robbinsdale, MN 55422-1731
Phone (763) 537-3927

Other identifiers 2

IdentifierTypeStateIssuer
02493ROOtherMNBCBS OF MN GROUP #
648559OtherMNMEDICA MN GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000477 MN Part B Supplier - Clinic/Group Practice 5092629824 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Robbinsdale, MN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Robbinsdale Chirocenter Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4926 42nd Ave N
Robbinsdale, MN 55422
Phone (763) 537-3927

Practitioners & affiliated clinicians

Practitioners 9

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1912079534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4926 42ND AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221731",
            "telephone_number": "763-537-3927",
            "fax_number": "763-537-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4926 42ND AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221731",
            "telephone_number": "763-537-3927",
            "fax_number": "763-537-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBINSDALE CHIROCENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "ALLENBURG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-537-3927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN GROUP #",
            "identifier": "02493RO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA MN GROUP #",
            "identifier": "648559",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.