NPIMap

Organization Active NPI

Vitalign Spine Clinic PLLC

  • Chiropractor
  • Maple Grove, MN
National Provider Identifier
1043964471
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VITALIGN SPINE CLINIC PLLC
Practice address
7835 Main St N Ste 230
Maple Grove, MN 55369-7072
Phone
(763) 600-6450
NPI assigned
Feb 4, 2022
Last updated
May 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Dr. Chad Herrboldt, DCNPI 1124433099
Title
Chiropractor
Phone
(763) 600-6450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

7835 Main St N Ste 230
Maple Grove, MN 55369-7072

Mailing address

7835 Main St N Ste 230
Maple Grove, MN 55369-7072
Phone (763) 600-6450

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1043964471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7835 MAIN ST N STE 230",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697072",
            "telephone_number": "763-600-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7835 MAIN ST N STE 230",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697072",
            "telephone_number": "763-600-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIGN SPINE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "HERRBOLDT",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "763-600-6450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 9, 2022; 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.