DR. RYAN DAVID FEDDERSEN-POINDEXTER (NPI# 1194913442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194913442 |
| Entity Type | Individual |
| Full Name | DR. RYAN DAVID FEDDERSEN-POINDEXTER |
| Credential | D.C. |
| Practice Address |
4230 16th Ave S Minneapolis MN 55407-3312 |
| Practice Telephone | 6123543535 |
| Mailing Telephone | 6123543535 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4991 | MN | Chiropractic Providers |
| Street Address |
4230 16TH AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1750917068 | Minnesota Chiroworks, Pllc | Chiropractor | 125 Se Main St Ste 237, Minneapolis, MN 55414-2278 | 2020-03-18 |
| 1295368850 | First Choice Chiropractic & Rehab Center LLC | Chiropractor | 2929 4th Ave S Ste 103, Minneapolis, MN 55408-2460 | 2020-02-21 |
| 1144869587 | Jaron Michael Faber | Chiropractor | 8921 62nd Ave N, Minneapolis, MN 55428-2630 | 2020-01-02 |
| 1174167845 | Marino Best | Chiropractor | 1221 W Lake St Ste 102, Minneapolis, MN 55408-3398 | 2019-11-05 |
| 1609410984 | Hlikaj Xiong | Chiropractor | 2822 W 43rd St Ste 100, Minneapolis, MN 55410-1696 | 2019-10-30 |
| 1164987228 | Kyle Politz | Chiropractor | 6528 W Lake St Ste D, Minneapolis, MN 55426-4246 | 2019-02-04 |
| 1558833558 | Drew Selnes | Chiropractor | 3211 E 25th St, Minneapolis, MN 55406-1410 | 2019-01-02 |
| 1063984235 | Austin G King | Chiropractor | 7801 E Bush Lake Rd Ste 280, Minneapolis, MN 55439-3144 | 2018-12-27 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on DR. RYAN DAVID FEDDERSEN-POINDEXTER.
| 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.