ARVIDSON GRAND AVE CHIROPRACTIC (NPI# 1245373034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245373034 |
| Entity Type | Organization |
| Organization Name | ARVIDSON GRAND AVE CHIROPRACTIC |
| Other Organization Name | GRAND AVE CHIROPRACTIC |
| Practice Address |
1119 Grand Ave Saint Paul MN 55105-2629 |
| Practice Telephone | 6512247603 |
| Practice Fax Number | 6512242604 |
| Mailing Telephone | 6512247603 |
| Mailing Fax Number | 6512242604 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | DR. CRAIG GEORGE ARVIDSON (CHIROPRACTOR) |
| Authorized Official Telephone | 6512247603 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2049 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD | 23175AR | 01 |
| Other Name | Type Code |
|---|---|
| Grand Ave Chiropractic | Doing Business As Name - Organization |
| Street Address |
1119 GRAND AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55105-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992848881 | Craig George Arvidson | Chiropractor | 1119 Grand Ave, Saint Paul, MN 55105-2629 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
| 1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
| 1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
| 1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
| 1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
| 1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
| 1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
| 1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
| 1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
| 1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
| Find all providers in zip 55105 | ||||
| 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 |
|---|---|---|---|---|
| 1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
| 1265061709 | Saint Paul Chiropractic Pllc | Chiropractor | 91 Snelling Ave N Ste 220, Saint Paul, MN 55104-6756 | 2020-04-06 |
| 1720622806 | Andreas Ezer | Chiropractor | 33 Hamline Ave S Ste 100, Saint Paul, MN 55105-2231 | 2019-11-01 |
| 1891284733 | Abby Mae Bachmeier | Chiropractor | 333 Grand Ave Ste 102, Saint Paul, MN 55102-2584 | 2018-05-07 |
| 1801304852 | Kyle Nolan Walsh | Chiropractor | 33 Avon St S Apt 6, Saint Paul, MN 55105-3186 | 2018-01-11 |
| 1154859866 | Sara Livia Cooper | Chiropractor | 1 Water St W Ste 270, Saint Paul, MN 55107-2053 | 2017-05-24 |
| 1982146502 | Neville Lambourne | Chiropractor | 393 Dunlap St N Ste Ll38, Saint Paul, MN 55104-4202 | 2016-11-14 |
| 1457804643 | Pamela Joy Comes | Chiropractor | 1700 Rice St Ste B, Saint Paul, MN 55113-6812 | 2016-07-25 |
| 1437511995 | Andrew David Cook | Chiropractor | 21 Langford Park, Saint Paul, MN 55108-1910 | 2016-03-24 |
| 1598130924 | Chirodefense, LLC | Chiropractor | 1068 Payne Ave, Saint Paul, MN 55130-3843 | 2015-12-10 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55105 |
Please comment or provide details below to improve the information on ARVIDSON GRAND AVE CHIROPRACTIC.
| 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.