NPIMap

Organization Active NPI

Healthsource of Burnsville, P.a.

  • Clinic/Center
  • Burnsville, MN
National Provider Identifier
1972774073
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5044 Issued in MN
Legal business name
HEALTHSOURCE OF BURNSVILLE, P.A.
Practice address
200 E Travelers TRL
Suite 105
Burnsville, MN 55337-4097
Phone
(952) 707-0110
Fax
(952) 707-0115
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Alison Ann Behnke, D.C.
Title
Chiropractor/President
Phone
(952) 707-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5044 MN Primary

Addresses

Primary practice location

200 E Travelers TRL
Suite 105
Burnsville, MN 55337-4097

Mailing address

200 E Travelers TRL
Suite 105
Burnsville, MN 55337-4097
Phone (952) 707-0110

National Provider Directory

National Provider Directory

Locations

200 E Travelers Trl
Ste 105
Burnsville, MN 55337
Phone (952) 707-0110

17725 Kenwood Trl
Ste 3
Lakeville, MN 55044
Phone (952) 683-1101

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1972774073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E TRAVELERS TRL",
            "address_2": "SUITE 105",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374097",
            "telephone_number": "952-707-0110",
            "fax_number": "952-707-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E TRAVELERS TRL",
            "address_2": "SUITE 105",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374097",
            "telephone_number": "952-707-0110",
            "fax_number": "952-707-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF BURNSVILLE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "BEHNKE",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "952-707-0110",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "5044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.