Organization Active NPI

Vaida Chiropractic, Inc

  • Chiropractor
  • Wayzata, MN
National Provider Identifier
1033575196
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5664 Issued in MN
Legal business name
VAIDA CHIROPRACTIC, INC
Practice address
101 Lake St W
Suite 210
Wayzata, MN 55391-1576
Phone
(952) 473-1773
NPI assigned
Jan 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Dr. Lydia Schmidt, D.C.NPI 1154689834
Title
Owner
Phone
(763) 355-4188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5664 MN Primary

Addresses

Primary practice location

101 Lake St W
Suite 210
Wayzata, MN 55391-1576

Mailing address

101 Lake St W
Suite 210
Wayzata, MN 55391-1576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160321000907 MN Part B Supplier - Clinic/Group Practice 8527365436 Receives reassigned benefits from 4 practitioners
Practice locations: Wayzata, MN

National Provider Directory

National Provider Directory

Locations

101 Lake St W
Ste 210
Wayzata, MN 55391
Phone (612) 562-6581

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": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1033575196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAKE ST W",
            "address_2": "SUITE 210",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAKE ST W",
            "address_2": "SUITE 210",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911576",
            "telephone_number": "952-473-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIDA CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-355-4188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.