Organization Active NPI

Chad Beiler D.C., P.a.

  • Chiropractor
  • Cottage Grove, MN
National Provider Identifier
1942413604
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4435 Issued in MN
Legal business name
CHAD BEILER D.C., P.A.
Practice address
8451 E Point Douglas Rd S
Cottage Grove, MN 55016-3331
Phone
(651) 459-3171
Fax
(651) 768-5059
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Dr. Chad Beiler, D.C.
Title
Owner/ President
Phone
(651) 459-3171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4435 MN Primary

Addresses

Primary practice location

8451 E Point Douglas Rd S
Cottage Grove, MN 55016-3331

Mailing address

8451 E Point Douglas Rd S
Cottage Grove, MN 55016-3331
Phone (651) 459-3171

Other identifiers 1

IdentifierTypeStateIssuer
2286726-00MedicaidMN

Other names 1

  • MN Spine and Sport Doing business as

National Provider Directory

National Provider Directory

Locations

8360 City Centre Dr
Woodbury, MN 55125
Phone (651) 459-3171

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1942413604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8451 E POINT DOUGLAS RD S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163331",
            "telephone_number": "651-459-3171",
            "fax_number": "651-768-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8451 E POINT DOUGLAS RD S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163331",
            "telephone_number": "651-459-3171",
            "fax_number": "651-768-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD BEILER D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "BEILER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "651-459-3171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2286726-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MN Spine and Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.