Perreault Chiropractic and Acupuncture Service Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4230 Issued in MN

Legal business name

PERREAULT CHIROPRACTIC AND ACUPUNCTURE SERVICE CORPORATION

Practice address

6361 Main St
North Branch, MN 55056-6693

Phone

(651) 674-4833

Fax

(651) 674-5847

NPI assigned

Nov 21, 2016

Organization subpart

No

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

Authorized official

Name

Julie Perreault, D.C.NPI 1699711614

Title

Owner

Phone

(651) 674-4833

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Perreault Chiropractic & Acupuncture Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 3

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

• Julie A Perreault, DC

  • Chiropractor
  • No Branch, MN
  • NPI 1699711614
  Medicare reassignment Care Compare group NPD Authorized official
• Mason Hope Clark, DC

  • Chiropractor
  • North Branch, MN
  • NPI 1699583179
  Medicare reassignment Care Compare group NPD
• Roger E Perreault, DC

  • Chiropractor
  • Rush City, MN
  • NPI 1912942178
  NPD (past)

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1922541044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6361 MAIN ST",
            "address_2": "PO BOX 782",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566693",
            "telephone_number": "651-674-4833",
            "fax_number": "651-674-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6361 MAIN ST",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566693",
            "telephone_number": "651-674-4833",
            "fax_number": "651-674-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERREAULT CHIROPRACTIC AND ACUPUNCTURE SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "PERREAULT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-674-4833",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065880400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1699711614",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perreault Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Kay Olson, RN
• Tiffany Oslin, CNP
• Outlook Health Services, Inc.
• Briana Paige
• Rebecca Sue Paulon, LADC
• Michael Bahr Perry
• Donald Richard Peters
• Phoenix
• Phoenix Academy of Art and Science
• William C Piotrowski, MD

• Chiropractor in North Branch, MN
• Providers in North Branch, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.