NPIMap

Organization Active NPI

Functional Chiropractic and Laser

  • Chiropractor
  • Edina, MN
National Provider Identifier
1992142764
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5787 Issued in MN
Legal business name
FUNCTIONAL CHIROPRACTIC AND LASER
Practice address
5151 Edina Industrial Blvd
600
Edina, MN 55439-3013
Phone
(612) 787-7246
NPI assigned
Jun 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Dr. Dustin Patrick Campion, D.C.NPI 1700163516
Title
Chiropractor
Phone
(612) 787-7246

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 5787 MN Primary

Addresses

Primary practice location

5151 Edina Industrial Blvd
600
Edina, MN 55439-3013

Mailing address

5151 Edina Industrial Blvd
600
Edina, MN 55439-3013
Phone (612) 787-7246

National Provider Directory

National Provider Directory

Locations

5151 Edina Industrial Blvd
Ste 600
Edina, MN 55439
Phone (612) 408-9535

Practitioners & affiliated clinicians

Practitioners 2

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": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1992142764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 EDINA INDUSTRIAL BLVD",
            "address_2": "600",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393013",
            "telephone_number": "612-787-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 EDINA INDUSTRIAL BLVD",
            "address_2": "600",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393013",
            "telephone_number": "612-787-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL CHIROPRACTIC AND LASER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "CAMPION",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "612-787-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.