NPIMap

Organization Active NPI

Robbinsdale Chiropractic

Doing business as Plymouth Grove ChiroCenter

  • Chiropractor
  • Robbinsdale, MN
National Provider Identifier
1972846350
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2266 Issued in MN
Legal business name
ROBBINSDALE CHIROPRACTIC
Doing business as
Plymouth Grove ChiroCenter
Practice address
4926 42ND Avenue North
Robbinsdale, MN 55422-1731
Phone
(763) 537-3927
Fax
(763) 537-1421
NPI assigned
Apr 3, 2013
Organization subpart
Yes
Parent organization
ROBBINSDALE CHIROPRACTICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Dr. John T Allenburg Jr., D.C.NPI 1467534651
Title
President
Phone
(763) 559-9236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2266 MN Primary

Addresses

Primary practice location

4926 42ND Avenue North
Robbinsdale, MN 55422-1731

Mailing address

3900 Vinewood LN N Ste 19
Plymouth, MN 55441-8795
Phone (763) 559-9236

Other names 1

  • Plymouth Grove ChiroCenter Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Robbinsdale Chirocenter Inc2 organizations share this tax ID, including this one
Part of
Robbinsdale Chirocenter Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4926 42nd Ave N
Robbinsdale, MN 55422
Phone (763) 537-3927

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1972846350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 VINEWOOD LN N STE 19",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554418795",
            "telephone_number": "763-559-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4926 42ND AVENUE NORTH",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221731",
            "telephone_number": "763-537-3927",
            "fax_number": "763-537-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBINSDALE CHIROPRACTIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBBINSDALE CHIROPRACTIC",
        "enumeration_date": "2013-04-03",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "ALLENBURG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-559-9236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plymouth Grove ChiroCenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Robbinsdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.