NPIMap

Organization Active NPI

North Metro Chiropractic Clinic P.a.

  • Chiropractor
  • Cambridge, MN
National Provider Identifier
1912108911
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
466 Issued in MN
Legal business name
NORTH METRO CHIROPRACTIC CLINIC P.A.
Practice address
1525 Highway 95 E
Cambridge, MN 55008-1756
Phone
(763) 689-0462
Fax
(763) 689-6995
NPI assigned
May 29, 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. David J Schornstein, D.C.
Title
Clinic Administrator
Phone
(763) 689-0462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 466 MN Primary

Addresses

Primary practice location

1525 Highway 95 E
Cambridge, MN 55008-1756

Mailing address

1525 Highway 95 E
Cambridge, MN 55008-1756
Phone (763) 689-0462

Other identifiers 2

IdentifierTypeStateIssuer
466OtherMNSTATE CHIRO FIRM NUMBER
17F26RUOtherMNBCBS GROUP NUMBER

Other names 1

  • Rum River Chiropractic Clinic P.A. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912108911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 HIGHWAY 95 E",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081756",
            "telephone_number": "763-689-0462",
            "fax_number": "763-689-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 HIGHWAY 95 E",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081756",
            "telephone_number": "763-689-0462",
            "fax_number": "763-689-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH METRO CHIROPRACTIC CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHORNSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "763-689-0462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CHIRO FIRM NUMBER",
            "identifier": "466",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "17F26RU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rum River Chiropractic Clinic P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cambridge, 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.