Groveland Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3353 Issued in MN

Legal business name

GROVELAND CHIROPRACTIC

Practice address

2052 Saint Clair Ave
Saint Paul, MN 55105-1650

Phone

(651) 698-2516

NPI assigned

Oct 1, 2007

Last updated

Oct 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marcia Roeder, D.C.NPI 1598963811

Title

Sole Proprietor

Phone

(651) 698-2516

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcia Louise Roeder, D.C.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1598963811
  NPD (past) Authorized official
• Emily Jenny Dahl, DOCTOR OF CHIROPRACT

  • Chiropractor
  • Saint Paul, MN
  • NPI 1871886440
  NPD (past)
• Mary Patricia Grom, D.C.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1245438415
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1972790269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 SAINT CLAIR AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051650",
            "telephone_number": "651-698-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 SAINT CLAIR AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051650",
            "telephone_number": "651-698-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVELAND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "ROEDER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "651-698-2516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22315ES",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grouphealth Plan Inc (HealthPartners Midway Clinic)
• Grouphealth Plan Inc (HealthPartners Health Center for Women Clinic)
• Elisabeth Groutwells, LICSW
• Brian Elmer Grove, D.D.S.
• Mary Morrison Grove, PSYD, LP
• Groveland Dental P.a.
• Hannah Grow
• Growth Services LLC
• Elise Grubb
• Mary Joyce Gruber, CNS

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.