Waypoint Minnesota Sports PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WAYPOINT MINNESOTA SPORTS PC

Practice address

9325 Upland LN N
Suite 230
Maple Grove, MN 55369-4200

Phone

(763) 315-0466

NPI assigned

Jun 7, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Dimarco

Title

Chief Operating Officer / Secretary

Phone

(917) 434-9669

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1013355478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LN N",
            "address_2": "SUITE 230",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694200",
            "telephone_number": "763-315-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LN N",
            "address_2": "SUITE 230",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694200",
            "telephone_number": "763-315-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYPOINT MINNESOTA SPORTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER / SECRETARY",
        "authorized_official_telephone_number": "917-434-9669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brett Joseph Waverly, D.P.M.
• Kelly Nicole Wawryk, OD
• Waypoint Minnesota PC
• Sheila Webb, MSW, LICSW
• Kari Webber, MSN RN FNP
• Lauren Elizabeth Webber
• Brad Alan Weeks, O.D.
• Charles Weill

• All providers in Maple Grove, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.