North Suburban Chiropractic Clinic P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2478 Issued in MN

Legal business name

NORTH SUBURBAN CHIROPRACTIC CLINIC P.A.

Practice address

12045 Hanson Blvd NW
Coon Rapids, MN 55448-1969

Phone

(763) 754-2573

Fax

(763) 754-0128

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Ray Tollefson, D.C.NPI 1700899168

Title

Owner

Phone

(763) 754-2573

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Richard Ray Tollefson, D.C.

  • Chiropractor
  • Andover, MN
  • NPI 1700899168
  NPD (past) Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942425699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12045 HANSON BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481969",
            "telephone_number": "763-754-2573",
            "fax_number": "763-754-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12045 HANSON BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481969",
            "telephone_number": "763-754-2573",
            "fax_number": "763-754-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN CHIROPRACTIC CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOLLEFSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-754-2573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan R Norquist, MD
• Luther Leameo Norris
• Bonnie Inez Norsted, M.A.
• North Cities Health Care, Inc
• North Metro Orthotics and Prosthetics, Inc
• North Suburban Counseling Center
• North Suburban Counseling Ctr
• North Suburban Eye Specialists, LLP
• North Suburban Optical
• North Suburban Urology of Coon Rapids, Inc.

• Chiropractor in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Chiropractor 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.