FAMILY CHIROPRACTIC CENTER, PA (NPI# 1083688345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083688345 |
| Entity Type | Organization |
| Organization Name | FAMILY CHIROPRACTIC CENTER, PA |
| Other Organization Name | DR DAVID E TRAUX |
| Practice Address |
20700 Chippendale Ave W Ste 7 Farmington MN 55024-8206 |
| Practice Telephone | 6514609449 |
| Practice Fax Number | 6512792148 |
| Mailing Telephone | 6514609449 |
| Mailing Fax Number | 6512792148 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | ANNIE LEE MICKELSON (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6514609449 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261Q00000X | Clinic/Center | 1020 | MN | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | 4381 | MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dr David E Traux | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124209309 | Family Chiropractic Center, Pa | Chiropractor | 1485 Lisbon St, Lewiston, ME 04240-3522 | 2007-11-16 |
| Street Address |
20700 CHIPPENDALE AVE W STE 7 |
| City | FARMINGTON |
| State | MN |
| Zip Code | 55024-8206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952785008 | Samantha Oberg | Chiropractor | 20700 Chippendale Ave W Ste 7, Farmington, MN 55024-8206 | 2015-07-17 |
| 1841317013 | Joel Alan Fenske | Chiropractor | 20700 Chippendale Ave W Ste 7, Farmington, MN 55024 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758158 | Renetia Jackson | Technician | 1210 Spruce Street, Farmington, MN 55024 | 2019-09-10 |
| 1871094912 | Megan Provost | Registered Nurse | 17680 Formosa Ave, Farmington, MN 55024 | 2018-02-23 |
| 1356752463 | Your Vision Achieved, LLC | Marriage & Family Therapist | 5404 187th Street West, Farmington, MN 55024 | 2014-05-12 |
| 1427304203 | Joseph Samuel Emond Jr. | Family Medicine | 19730 Meadowlark Way, Farmington, MN 55024 | 2012-07-30 |
| 1053680991 | Annie Lee Mickelson | Chiropractor | 20700 Chippendale Ave Suite 7, Farmington, MN 55024 | 2011-12-21 |
| 1770770828 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 19605 Pilot Knob Rd., Farmington, MN 55024 | 2007-10-02 |
| 1275725277 | Family Vision Clinic of Farmington | Optometrist | 19650 Pilot Knob Road, Farmington, MN 55024 | 2007-08-14 |
| 1871503136 | Independent School District #192 | Early Intervention Provider Agency | 20655 Flagstaff Avenue, Farmington, MN 55024 | 2006-08-09 |
| 1588692669 | Northfield Hospital | Clinic/Center | 4645 Knutsen Dr, Farmington, MN 55024 | 2006-06-29 |
| 1902887284 | David E Truax | Chiropractor | 20700 Chippendale Ave, Suite 7, Farmington, MN 55024 | 2005-11-14 |
| Find all providers in zip 55024 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811532500 | Alpha Wave Health Centers LLC | Clinic/Center | 10 Waterside Dr Ste 101, Farmington, CT 06032-3056 | 2019-11-17 |
| 1548569718 | Avon Allies LLC | Clinic/Center | 2 Bridgewater Rd Ste 100, Farmington, CT 06032-2269 | 2011-03-27 |
| 1780821512 | Sunrise Chiropractic LLC | Clinic/Center | 626 East Main St, Ste 3, Farmington, NM 87401-7432 | 2009-01-15 |
| 1578750626 | Marcus Seywerd Chiropractic Ltd | Clinic/Center | 16798 Embers Ave, Farmington, MN 55024-7310 | 2007-10-02 |
| 1003112822 | Allina Health System | Clinic/Center | 21260 Chippendale Ave W, Farmington, MN 55024-1427 | 2011-01-27 |
| 1801106711 | Fairview Health Services | Clinic/Center | 19685 Pilot Knob Rd, Farmington, MN 55024-7238 | 2010-10-13 |
| 1528288693 | Long Chiropractic Inc | Clinic/Center | 307 E Karsch Blvd, Ste E, Farmington, MO 63640-1768 | 2007-04-30 |
| 1427120187 | Sunil G & Nilima P Chand | Clinic/Center | 1031 E Karsch Blvd, Farmington, MO 63640-3404 | 2006-11-15 |
| 1053407460 | Presbyterian Medical Services | Clinic/Center | 1001 W Broadway, Farmington, NM 87401-5638 | 2006-10-04 |
| 1538199112 | Farmington Missouri Hospital Company LLC | Clinic/Center | 1212 Weber Road, Farmington, MO 63640 | 2006-07-03 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 55024 |
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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.