Organization Active NPI

Integrated Healthcare Services Golden Valley PA

  • Chiropractor
  • Wayzata, MN
National Provider Identifier
1013157288
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
618 Issued in MN
Legal business name
INTEGRATED HEALTHCARE SERVICES GOLDEN VALLEY PA
Practice address
700 Twelve Oaks Center Dr
Suite 101
Wayzata, MN 55391-4401
Phone
(952) 893-8900
Fax
(952) 893-7399
NPI assigned
Mar 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher Paul Massoglia, DC
Title
President
Phone
(763) 593-0919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 618 MN Primary

Addresses

Primary practice location

700 Twelve Oaks Center Dr
Suite 101
Wayzata, MN 55391-4401

Mailing address

6480 Wayzata Blvd
Golden Valley, MN 55426-1710
Phone (763) 593-0919

National Provider Directory

National Provider Directory

Locations

6480 Wayzata Blvd
Golden Valley, MN 55426
Phone (763) 593-0919

700 Twelve Oaks Center Dr
Ste 101
Wayzata, MN 55391
Phone (952) 893-8900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1013157288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 WAYZATA BLVD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261710",
            "telephone_number": "763-593-0919",
            "fax_number": "763-593-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 TWELVE OAKS CENTER DR",
            "address_2": "SUITE 101",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914401",
            "telephone_number": "952-893-8900",
            "fax_number": "952-893-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTHCARE SERVICES GOLDEN VALLEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "MASSOGLIA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-593-0919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.