Spring Lake Park Chiropractic Clinic

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

SPRING LAKE PARK CHIROPRACTIC CLINIC

Practice address

1611 County Highway 10
Spring Lake Park, MN 55432-2124

Phone

(763) 784-1540

Fax

(763) 784-3383

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Williamson

Title

Office Manager

Phone

(763) 784-1540

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932255338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 COUNTY HIGHWAY 10",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554322124",
            "telephone_number": "763-784-1540",
            "fax_number": "763-784-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 COUNTY HIGHWAY 10",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554322124",
            "telephone_number": "763-784-1540",
            "fax_number": "763-784-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING LAKE PARK CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "763-784-1540",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Douglas Sherman, LMFT
• Tracey Shoemaker, MA, LP
• Alexandra Smith, MA, LPCC
• Kyle James Smyth, LPCC, LADC
• Spectrumworks LLC
• Spring Lake Park Chiropractic PA
• Spring Lake Park Dentistry PLLC
• Jonathan Charles Staiger, P.T.
• Katie Ellen Steen, M.D.
• Cynthia Steinke

• Preferred Provider Organization in Spring Lake Park, MN
• Providers in Spring Lake Park, MN by specialty
• Preferred Provider Organization in Minnesota

• 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.