Well Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6227 Issued in MN

Legal business name

WELL CHIROPRACTIC

Practice address

966 Prairie Center Dr
Eden Prairie, MN 55344-7304

Phone

(763) 913-6156

NPI assigned

Jun 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Renato Bevanda, D.CNPI 1669821195

Title

Owner

Phone

(763) 913-6156

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Renato Bevanda, DC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1669821195
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1013366533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9733 CAVELL AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381620",
            "telephone_number": "763-913-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 PRAIRIE CENTER DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447304",
            "telephone_number": "763-913-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "BEVANDA",
        "authorized_official_first_name": "RENATO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-913-6156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traice Webb-Bradley, PHD
• Steven Webb, LMFT
• Herbert Neal Weisman, DDS
• Annika Weiss
• Teresa Welch, RPH
• Skylar Welle
• Wellness Way Eden Prairie LLC
• Angela G Wells, NP-C
• Wellspring Women'S Counseling PLLC
• Amber Rae Werner, P.T., A.T.C.

• Chiropractor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.