DR. MALLORI BETH DOMBROCK (NPI# 1124386172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124386172 |
| Entity Type | Individual |
| Full Name | DR. MALLORI BETH DOMBROCK |
| Credential | D.C. |
| Practice Address |
21450 Highway 7 Excelsior MN 55331-7205 |
| Practice Telephone | 9524749393 |
| Practice Fax Number | 9524742375 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2018-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
5909 | MN | Chiropractic Providers |
| Street Address |
21450 HIGHWAY 7 |
| City | EXCELSIOR |
| State | MN |
| Zip Code | 55331-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437272218 | Marc Andrew Hope | Chiropractor | 21450 Highway 7, Excelsior, MN 55331-7205 | 2007-04-09 |
| 1730381021 | M. Hope Pa | Chiropractor | 21450 Highway 7, Excelsior, MN 55331-7205 | 2007-05-31 |
| 1720298896 | Mitchell Craig Melohn | Chiropractor | 21450 Highway 7, Excelsior, MN 55331-7205 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609432798 | Christina Mccullough Dds Pllc | Dentist | 2455 Shadywood Road, Orono, MN 55331 | 2019-05-14 |
| 1558854042 | Melissa Ann Morency | Massage Therapist | 23505 County Road 19, Excelsior, MN 55331 | 2018-06-11 |
| 1801388475 | Susanne B Kanter | Physical Therapist | 23490 Mn-7, Shorewood, MN 55331 | 2018-05-30 |
| 1518367440 | Danielle Marie O'connell | Chiropractor | Knewtson Health Group, 23505 Smithtown Rd Suite 100, Excelsior, MN 55331 | 2014-08-28 |
| 1467893511 | Allison Scott | Pharmacist | 23800 Mn Hwy 7, Shorewood, MN 55331 | 2013-07-17 |
| 1417204751 | Minnetonka Psychology and Wellness | Marriage & Family Therapist | 19765 Highway 7, Suite 203, Shorewood, MN 55331 | 2012-08-06 |
| 1952623456 | Virginia Lee Sievers Green | Occupational Therapist | 464 2nd Street, Suite 105, Excelsior, MN 55331 | 2010-02-24 |
| 1497980163 | Harmonia Health Care | Home Health | 3121 Pillsbury Ave S, Minneapolis, MN 55331 | 2009-05-24 |
| 1831352731 | Kelli J O'shea | Occupational Therapist | 19685 Hwy 7, Shorewood, MN 55331 | 2008-07-10 |
| 1922295658 | Nueva Era Healthcare Services, Inc. | Home Health | 5667 Wood Duck Circle, Shorewood, MN 55331 | 2007-09-26 |
| Find all providers in zip 55331 | ||||
| Taxonomy Code | 111NP0017X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Pediatric Chiropractor |
| The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. |
| Notes: Source: Council on Chiropractic Pediatrics, American Chiropractic Association, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619272630 | Natural Living Chiropractic LLC | Chiropractor | 4827 W 123rd St, Savage, MN 55378-1364 | 2011-01-22 |
| 1649506528 | Erin Marie Anderson | Chiropractor | 4110 Minnehaha Ave, Minneapolis, MN 55406-3340 | 2009-10-27 |
| 1447481601 | Sara Jane Curell | Chiropractor | 108 N Saint Paul Ave, Fulda, MN 56131-9401 | 2009-08-05 |
| 1578799870 | Child and Family Chiropractic Center, LLC | Chiropractor | 4444 W. 76th St., Suite 100, Edina, MN 55435 | 2009-06-02 |
| 1205488244 | Joyce Cundiff | Chiropractor | 8441 Wayzata Blvd Ste 370, Minneapolis, MN 55426-1386 | 2019-07-10 |
| 1679940712 | Flynn Brown Chiropractic, Sc | Chiropractor | 1405 78th St Ste 100, Victoria, MN 55386-9723 | 2015-08-24 |
| 1669866968 | Tara Carlson | Chiropractor | 700 Twelve Oaks Center Dr, Suite 734, Wayzata, MN 55391-4401 | 2015-03-24 |
| 1285076950 | Seasons Family Chiropractic | Chiropractor | 8425 Seasons Pkwy, Suite 104b, Woodbury, MN 55125-4392 | 2013-07-23 |
| 1770849929 | Stacey Roth | Chiropractor | 1906 30th Ave S, Moorhead, MN 56560-5210 | 2012-04-02 |
| 1952675431 | Morgan Kaye Waterstraat Woods | Chiropractor | 4926 42nd Ave N, Robbinsdale, MN 55422-1731 | 2012-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.