PDR BURNSVILLE, INC (NPI# 1952414971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952414971 |
| Entity Type | Organization |
| Organization Name | PDR BURNSVILLE, INC |
| Practice Address |
14050 Nicollet Ave #114 Burnsville MN 55337-5710 |
| Mailing Address |
11822 Bren Rd Minnetonka MN 55343-9464 |
| Practice Telephone | 9529082710 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TODD WALLACE GINKEL (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9529082700 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | MN | Chiropractic Providers | |
| X | 208100000X | Physical Medicine & Rehabilitation | MN | Allopathic & Osteopathic Physicians | |
| X | 208D00000X | General Practice | MN | Allopathic & Osteopathic Physicians | |
| X | 225100000X | Physical Therapist | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| X | 225X00000X | Occupational Therapist | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
14050 NICOLLET AVE #114 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-5710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255322293 | Sheldon Trent Peterson | Dentist | 14050 Nicollet Ave, Suite 205, Burnsville, MN 55337-5710 | 2005-10-31 |
| 1285101469 | Christine Halverson | Occupational Therapist | 14050 Nicollet Ave, Burnsville, MN 55337-5710 | 2018-10-25 |
| 1164917936 | Lindsay Fitzgerald | Physical Therapist | 14050 Nicollet Ave, Burnsville, MN 55337-5710 | 2018-06-25 |
| 1700302742 | Michael R Henrickson Dds, Pllc | Dentist | 14050 Nicollet Ave, 205, Burnsville, MN 55337 | 2017-08-22 |
| 1851827406 | Kirsten O'rourke | Occupational Therapist | 14050 Nicollet Ave, Burnsville, MN 55337-5710 | 2017-05-02 |
| 1265825939 | Briann Rae Jennissen | Speech-Language Pathologist | 14050 Nicollet Ave, Burnsville, MN 55337 | 2015-03-05 |
| 1295168490 | Kari Ruth King | Physical Therapist | 14050 Nicollet Ave, Suite 201, Burnsville, MN 55337-5710 | 2013-08-12 |
| 1972943108 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 14050 Nicollet Ave, Suite 201, Burnsville, MN 55337-5710 | 2013-07-02 |
| 1881031706 | Jenna Leigh Tate | Pediatrics | 14050 Nicollet Ave, Suite 300, Burnsville, MN 55337-5710 | 2013-06-01 |
| 1255617031 | Allergy, Asthma, and Immunology of Minnesota, Pllc | Clinic/Center | 14050 Nicollet Ave, Suite 201, Burnsville, MN 55337-5710 | 2011-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| 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 |
|---|---|---|---|---|
| 1275098493 | Avery Marie Roy | Chiropractor | 150 E Travelers Trl Ste B, Burnsville, MN 55337-6890 | 2019-02-01 |
| 1649767120 | Ellen Weis | Chiropractor | 2999 County Road 42 W Ste 212, Burnsville, MN 55306-5908 | 2018-04-19 |
| 1942708516 | Nicholas John Solverson | Chiropractor | 14671 Chicago Ave Apt 6, Burnsville, MN 55306 | 2018-01-29 |
| 1578009551 | Sarah Nguyen | Chiropractor | 11751 W River Hills Dr, 118d, Burnsville, MN 55337-7242 | 2017-01-13 |
| 1750823431 | Total Body Chiropractic Care LLC | Chiropractor | 14300 Buck Hill Rd Ste E, Burnsville, MN 55306-6245 | 2016-11-10 |
| 1194182162 | Daniel Matthew Opitz | Chiropractor | 13809 James Ave S, Burnsville, MN 55337-4434 | 2016-01-21 |
| 1528478336 | Michael Patrick Hennes | Chiropractor | 14587 Grand Ave Ste 112, Burnsville, MN 55306 | 2014-05-01 |
| 1619310455 | Derek Thomas Ashton | Chiropractor | 14068 Plymouth Ave, Burnsville, MN 55337 | 2013-04-11 |
| 1275870776 | Ryan Thomas Skrenes | Chiropractor | 3301 Red Oak Cir N, Burnsville, MN 55337-3348 | 2013-01-03 |
| 1790094944 | Joanna E Prokes | Chiropractor | 2800 Selkirk Dr, Apt. C311, Burnsville, MN 55337-5671 | 2010-10-05 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.