Organization Active NPI

Knudson Chiropractic PLLC

  • Chiropractor
  • Rogers, MN
National Provider Identifier
1942734801
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6248 Issued in MN
Legal business name
KNUDSON CHIROPRACTIC PLLC
Practice address
21897 S Diamond Lake Rd
Ste 700
Rogers, MN 55374-4642
Phone
(763) 208-4424
Fax
(763) 208-4495
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Dr. Eric Gregory Knudson, D.C.
Title
Owner/Chiropractor
Phone
(763) 208-4424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6248 MN Primary

Addresses

Primary practice location

21897 S Diamond Lake Rd
Ste 700
Rogers, MN 55374-4642

Mailing address

21897 S Diamond Lake Rd
Ste 700
Rogers, MN 55374-4642
Phone (763) 208-4424

National Provider Directory

National Provider Directory

Locations

21897 S Diamond Lake Rd
Ste 700
Rogers, MN 55374
Phone (763) 208-4424

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1942734801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21897 S DIAMOND LAKE RD",
            "address_2": "STE 700",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744642",
            "telephone_number": "763-208-4424",
            "fax_number": "763-208-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21897 S DIAMOND LAKE RD",
            "address_2": "STE 700",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744642",
            "telephone_number": "763-208-4424",
            "fax_number": "763-208-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNUDSON CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "KNUDSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "763-208-4424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.