Organization Active NPI

Geriatric & Rehabilitation Consultants Ein

  • Specialist
  • Saint Paul, MN
National Provider Identifier
1972980852
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
36483 Issued in MN
Legal business name
GERIATRIC & REHABILITATION CONSULTANTS EIN
Practice address
360 Sherman St Ste 400
Saint Paul, MN 55102-2425
Phone
(651) 225-1102
Fax
(651) 674-3634
NPI assigned
Apr 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Dr. Kenneth R Britton, DO
Title
Business Owner
Phone
(651) 225-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 36483 MN Primary

Addresses

Primary practice location

360 Sherman St Ste 400
Saint Paul, MN 55102-2425

Mailing address

360 Sherman St Ste 400
Saint Paul, MN 55102-2425
Phone (651) 225-1102

Other identifiers 1

IdentifierTypeStateIssuer
824782000MedicaidMN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1972980852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SHERMAN ST STE 400",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022425",
            "telephone_number": "651-225-1102",
            "fax_number": "651-674-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SHERMAN ST STE 400",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022425",
            "telephone_number": "651-225-1102",
            "fax_number": "651-674-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC & REHABILITATION CONSULTANTS EIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "651-225-1102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "36483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "824782000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.