SLP CHIROPRACTIC, PA (NPI# 1003016296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003016296 |
| Entity Type | Organization |
| Organization Name | SLP CHIROPRACTIC, PA |
| Other Organization Name | DAVIS CHIROPRACTIC |
| Practice Address |
6140 Lake Linden Dr Suite 100 Excelsior MN 55331-2954 |
| Practice Telephone | 9524740886 |
| Mailing Telephone | 9524740886 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |
| Authorized Official Name | DR. HOWARD ALAN FIDLER (OWNER) |
| Authorized Official Telephone | 9529254085 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 701 | MN | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Davis Chiropractic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568661601 | Slp Chiropractic, Pa | Chiropractor | 4415 Excelsior Blvd, Saint Louis Park, MN 55416-4813 | 2007-07-17 |
| Street Address |
6140 LAKE LINDEN DR SUITE 100 |
| City | EXCELSIOR |
| State | MN |
| Zip Code | 55331-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659865822 | Kayla Dawn Hanninen | Dentist | 6140 Lake Linden Dr, Excelsior, MN 55331-2954 | 2018-06-20 |
| 1962850784 | Andrew Jon Bosworth | Dentist | 6140 Lake Linden Dr, Suite #230, Excelsior, MN 55331-2954 | 2016-06-02 |
| 1497195838 | Angela M Hastings | Dentist | 6140 Lake Linden Dr, Suite 111, Excelsior, MN 55331-2954 | 2013-06-30 |
| 1013140599 | Health Source Shorewood | Chiropractor | 6140 Lake Linden Dr, Suite 100, Excelsior, MN 55331-2954 | 2009-08-31 |
| 1518125160 | Kelly Bosworth, Dds, Inc | Dentist | 6140 Lake Linden Dr, Suite 230, Excelsior, MN 55331-2954 | 2008-05-30 |
| 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 | 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 |
|---|---|---|---|---|
| 1831743566 | Axel David Osborn | Chiropractor | 2467 Highway 7, Excelsior, MN 55331-9701 | 2019-07-31 |
| 1639734007 | Claire Elizabeth Jessen | Chiropractor | 261 School Ave Ste 100, Excelsior, MN 55331-1958 | 2019-05-01 |
| 1497112676 | Brittany Mulder | Chiropractor | 373 George St, Excelsior, MN 55331-3061 | 2016-01-19 |
| 1518367440 | Danielle Marie O'connell | Chiropractor | Knewtson Health Group, 23505 Smithtown Rd Suite 100, Excelsior, MN 55331 | 2014-08-28 |
| 1417140385 | Dennis Mark French | Chiropractor | 4286 Circle Rd, Excelsior, MN 55331-9507 | 2007-08-23 |
| 1902021959 | Sondra Lee Traylor | Chiropractor | 23115 Summit Ave, Excelsior, MN 55331-8960 | 2007-04-16 |
| 1437272218 | Marc Andrew Hope | Chiropractor | 21450 Highway 7, Excelsior, MN 55331-7205 | 2007-04-09 |
| 1841321189 | Richard A Prohofsky | Chiropractor | 360 W Point Rd, Excelsior, MN 55331-9425 | 2007-03-08 |
| 1265561633 | William Louis Prosen | Chiropractor | 19245 Highway 7, Excelsior, MN 55331-9126 | 2007-03-03 |
| 1003954348 | Rory Faherty | Chiropractor | 24000 Highway 7 Ste 215, Excelsior, MN 55331-2925 | 2007-02-01 |
| Find all providers in EXCELSIOR | ||||
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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.