NPIMap

Organization Active NPI

Trillium Chiropractic & Wellness PA

  • Chiropractor
  • Maple Grove, MN
National Provider Identifier
1013457993
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5332 Issued in MN
Legal business name
TRILLIUM CHIROPRACTIC & WELLNESS PA
Practice address
13700 Reimer Dr Suite 250
Maple Grove, MN 55311
Phone
(763) 420-2226
NPI assigned
Feb 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Authorized official

Name
Scott Walter
Title
Owner
Phone
(701) 388-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5332 MN Primary

Addresses

Primary practice location

13700 Reimer Dr Suite 250
Maple Grove, MN 55311

Mailing address

13700 Reimer Dr N Ste 250
Maple Grove, MN 55311-4581
Phone (763) 420-2226

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1013457993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 REIMER DR N STE 250",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114581",
            "telephone_number": "763-420-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 REIMER DR SUITE 250",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55311",
            "telephone_number": "763-420-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM CHIROPRACTIC & WELLNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-388-2000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.