Big Idea Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6458 Issued in MN

Legal business name

BIG IDEA CHIROPRACTIC PLLC

Practice address

7815 3Rd St N Ste 102
Oakdale, MN 55128-5443

Phone

(651) 400-7777

NPI assigned

Jan 22, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Clay Larson, DC

Title

Organizer

Phone

(651) 400-7777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1912415159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 3RD ST N STE 102",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 3RD ST N STE 102",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285443",
            "telephone_number": "651-400-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG IDEA CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "CLAY",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "651-400-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.