AFFORDABLE CHIROPRACTIC CENTER, P.A. (NPI# 1639208739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639208739 |
Entity Type | Organization |
Organization Name | AFFORDABLE CHIROPRACTIC CENTER, P.A. |
Other Organization Name | ADVANCED SPINAL CARE & REHAB |
Practice Address |
4535 Hodgson Rd Shoreview MN 55126-1949 |
Practice Telephone | 6514901507 |
Mailing Telephone | 6514901507 |
Enumeration Date | 2007-03-05 |
Last Update Date | 2017-01-11 |
Authorized Official Name | DR. DUANE JOHN (CHIROPRACTOR OWNER) |
Authorized Official Telephone | 6514901507 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 111N00000X | Chiropractor | 2834 | MN | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 126828700 | 05 | |
MN | MEDICARE | 350004070 | 01 |
Other Name | Type Code |
---|---|
Advanced Spinal Care & Rehab | Doing Business As Name - Organization |
Street Address |
4535 HODGSON RD |
City | SHOREVIEW |
State | MN |
Zip Code | 55126-1949 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760583231 | Alan B Montgomery Orthodontics | Dentist | 4535 Hodgson Rd, 700, Shoreview, MN 55126 | 2006-09-26 |
1528421815 | Spencer John | Chiropractor | 4535 Hodgson Rd, Suite 200, Shoreview, MN 55126-1949 | 2016-04-04 |
1770812018 | Alan B Montgomery | Dentist | 4535 Hodgson Rd, #700, Shoreview, MN 55126-1949 | 2009-12-16 |
1215055348 | Duane Rudolph John | Chiropractor | 4535 Hodgson Rd, Shoreview, MN 55126-1949 | 2007-03-27 |
1588718191 | Steven L Schramm | Chiropractor | 4535 Hodgson Rd, Suite 200, Shoreview, MN 55126-1949 | 2007-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
Find all providers in zip 55126 |
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 |
---|---|---|---|---|
1508488081 | Joseph Cassens | Chiropractor | 3570 Lexington Ave N Ste 208, Shoreview, MN 55126-8058 | 2020-05-07 |
1073086138 | Ashley Brauner | Chiropractor | 4535 Hodgson Rd Ste 200, Shoreview, MN 55126-1950 | 2019-01-10 |
1871979245 | Lifetree Chiropractic & Wellness, LLC | Chiropractor | 3550 Lexington Ave N Ste 210, Shoreview, MN 55126-8092 | 2015-08-07 |
1396085882 | Sourcepoint Chiropractic and Wellness Center, LLC | Chiropractor | 405 Ash St, Shoreview, MN 55126-1133 | 2013-02-21 |
1841543410 | Rachel Marie Theis | Chiropractor | 879 Monterey Dr, Shoreview, MN 55126-5871 | 2012-10-19 |
1164660924 | Ann Elisabeth Ivey | Chiropractor | 5910 Alameda St, Shoreview, MN 55126-4649 | 2009-01-30 |
1184808636 | Advanced Chiropractic & Wellness Clinic | Chiropractor | 3434 Lexington Ave N Ste 900, Shoreview, MN 55126-8090 | 2007-12-19 |
1811177546 | Chiropractic Servics Ltd. | Chiropractor | 1050 County Road E W, Shoreview, MN 55126-8062 | 2007-11-09 |
1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
1730201435 | Lori Darlene Lukovsky | Chiropractor | 1050 County Road E. West, Shoreview, MN 55126-8022 | 2007-04-04 |
Find all providers in SHOREVIEW |
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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.