Individual provider Active NPI

Peter Jon Gianforte, D.C.

  • Chiropractor
  • Minnetonka, MN
National Provider Identifier
1962782060
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5512 Issued in MN
Practice address
11349 Highway 7
Minnetonka, MN 55305-5300
Phone
(952) 229-8750
NPI assigned
Aug 19, 2011
Last updated
Aug 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5512 MN Primary

Addresses

Primary practice location

11349 Highway 7
Minnetonka, MN 55305-5300

Mailing address

11349 Highway 7
Minnetonka, MN 55305-5300
Phone (952) 229-8750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110922000186 MN Practitioner - Chiropractic 0941471072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnetonka Family Chiropractic LLCGroup PAC ID 8224209358, 3 clinicians

Practice addresses (Care Compare)

11349 Hwy 7
Minnetonka, MN 55305-5300
Phone (952) 322-0323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minnetonka Family Chiropractic LLC CurrentSince Sep 1, 2011 Accepting new patients

Locations

11349 Highway 7
Minnetonka, MN 55305
Phone (952) 229-8750

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1962782060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11349 HIGHWAY 7",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055300",
            "telephone_number": "952-229-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11349 HIGHWAY 7",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055300",
            "telephone_number": "952-229-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANFORTE",
        "first_name": "PETER",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.