Well-Adjusted Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4194 Issued in MN

Legal business name

WELL-ADJUSTED CHIROPRACTIC

Practice address

2436 Albert St N
Roseville, MN 55113-3158

Phone

(651) 329-7679

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John H Pederson, DC

Title

Owner

Phone

65133297679

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Samantha R Pederson, DC

  • Chiropractor
  • Roseville, MN
  • NPI 1437277126
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1033129861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 ALBERT ST N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133158",
            "telephone_number": "651-329-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 ALBERT ST N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133158",
            "telephone_number": "651-329-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL-ADJUSTED CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "PEDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "65133297679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Weinmann
• Chelsea Allison Weinstein, LICSW
• Barb Weisenberger, RN
• Anne M Weisensee, MD
• Annie Jo Welch
• Wellbeing Home Care Services
• Wellness Horizon
• Welltower Opco Group LLC
• Beverly Wentworth, LAMFT
• Jeff David Werner, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.