Organization Active NPI

Gregory Pippert MD, PA

  • Specialist
  • Maple Grove, MN
National Provider Identifier
1992947501
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
37489 Issued in MN
Legal business name
GREGORY PIPPERT MD, PA
Doing business as
BodyLogicMD of Maple Grove
Practice address
7270 Forestview LN N
Suite 225
Maple Grove, MN 55369-5546
Phone
(866) 542-4932
Fax
(866) 542-6378
NPI assigned
Mar 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Authorized official

Name
Dr. Gregory C Pippert, M.D.NPI 1124091731
Title
Director
Phone
(866) 542-4932

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 37489 MN Primary

Addresses

Primary practice location

7270 Forestview LN N
Suite 225
Maple Grove, MN 55369-5546

Mailing address

4629 Pine Point Rd
Sartell, MN 56377-9748
Phone (866) 542-4932

Other names 1

  • BodyLogicMD of Maple Grove Doing business as

National Provider Directory

National Provider Directory

Locations

7270 Forestview Ln N
Ste 225
Maple Grove, MN 55369
Phone (320) 252-0094

Practitioners & affiliated clinicians

Practitioners 1

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": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1992947501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 PINE POINT RD",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563779748",
            "telephone_number": "866-542-4932",
            "fax_number": "320-267-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 FORESTVIEW LN N",
            "address_2": "SUITE 225",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695546",
            "telephone_number": "866-542-4932",
            "fax_number": "866-542-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY PIPPERT MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "PIPPERT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-542-4932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "37489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Maple Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.