Intelligent Design Wellness PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5327 Issued in MN

Legal business name

INTELLIGENT DESIGN WELLNESS PLLC

Practice address

2510 W 112TH St
Bloomington, MN 55431-3962

Phone

(651) 558-1578

NPI assigned

Apr 21, 2013

Last updated

Apr 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey David Sandquist, D.C.

Title

Owner

Phone

(651) 558-1578

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366502400000",
    "number": "1023452059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W 112TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313962",
            "telephone_number": "651-558-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W 112TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313962",
            "telephone_number": "651-558-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIGENT DESIGN WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-21",
        "last_updated": "2013-04-21",
        "status": "A",
        "authorized_official_last_name": "SANDQUIST",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-558-1578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.