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PDR BURNSVILLE INC NPI 1952414971


NPI Information

NPI: 1952414971
Provider Name: PDR BURNSVILLE, INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
14050 NICOLLET AVE
#114
BURNSVILLE, MN
ZIP 55337
Phone: (952) 908-2710
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PDR BURNSVILLE, INC is a chiropractor in Burnsville, MN. The provider is 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. PDR BURNSVILLE, INC NPI is 1952414971. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14050 NICOLLET AVE
#114
BURNSVILLE, MN
ZIP 55337-710
Phone: (952) 908-2710

The provider's authorized official is Todd Wallace Ginkel .
The authorized official title is President/owner and has the following contact phone number (952) 908-2700.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorMINNESOTAYes
2208100000XPhysical Medicine & RehabilitationMINNESOTAX
3208D00000XGeneral PracticeMINNESOTAX
4225100000XPhysical TherapistMINNESOTAX
5225X00000XOccupational TherapistMINNESOTAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.