Organization Active NPI

Advanced Injury Specialists, PLC

  • Health Service Clinic/Center
  • St Louis Park, MN
National Provider Identifier
1992941769
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
4487 Issued in MN
Legal business name
ADVANCED INJURY SPECIALISTS, PLC
Practice address
5115 Excelsior Blvd
Suite 132
St Louis Park, MN 55416-2906
Phone
(952) 232-5272
Fax
(952) 400-5699
NPI assigned
Dec 29, 2008
Last updated
Dec 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Dr. Scott A. Allan, D.C.
Title
Owner / Chiropractor
Phone
(952) 232-5272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 4487 MN Primary

Addresses

Primary practice location

5115 Excelsior Blvd
Suite 132
St Louis Park, MN 55416-2906

Mailing address

5115 Excelsior Blvd
Suite 132
St Louis Park, MN 55416-2906
Phone (952) 232-5272

National Provider Directory

National Provider Directory

Locations

5115 Excelsior Blvd
St Louis Park, MN 55416
Phone (952) 232-5272

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1992941769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 EXCELSIOR BLVD",
            "address_2": "SUITE 132",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162906",
            "telephone_number": "952-232-5272",
            "fax_number": "952-400-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 EXCELSIOR BLVD",
            "address_2": "SUITE 132",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162906",
            "telephone_number": "952-232-5272",
            "fax_number": "952-400-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INJURY SPECIALISTS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "ALLAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER / CHIROPRACTOR",
        "authorized_official_telephone_number": "952-232-5272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "4487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.