Wells Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3445 Issued in MN

Legal business name

WELLS CHIROPRACTIC CLINIC INC

Practice address

105 N Grove St
Blue Earth, MN 56013-2407

Phone

(507) 526-5656

Fax

(507) 526-5757

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chad A Malwitz, DCNPI 1841296290

Title

Owner

Phone

(507) 526-5656

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 4

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

• Chad Alan Malwitz, D.C.

  • Chiropractor
  • Blue Earth, MN
  • NPI 1841296290
  Medicare reassignment NPD Authorized official
• Rochelle Ann Rheingans, LPCC

  • Mental Health Counselor
  • Wells, MN
  • NPI 1588067540
  NPD (past)
• Danielle Mae Sonnek

  • Professional Counselor
  • Wells, MN
  • NPI 1255991543
  NPD (past)
• John Leonard Daccardi Jr., D.C.

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1851414700
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1063696540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N GROVE ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560132407",
            "telephone_number": "507-526-5656",
            "fax_number": "507-526-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N GROVE ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560132407",
            "telephone_number": "507-526-5656",
            "fax_number": "507-526-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "MALWITZ",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-526-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MINNESOTA",
            "identifier": "157L4WE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC5746",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "779458400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United Clinics of Faribault County
• United Hospital District Inc.
• Brittany Waletzko Bartz, DO
• Elisha Elyse Webster, M.D.
• William M Welch
• Guontung Wong, M.D.
• Zitnak Pharmacy
• Dennis Gene Zitnak, R.PH.

• All providers in Blue Earth, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.