Urwc, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2372 Issued in MN

Legal business name

URWC, PA

Practice address

1654 County Road E E
Vadnais Heights, MN 55110-4637

Phone

(651) 739-1248

Fax

(651) 264-9844

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Sean Conners, D.C.

Title

President

Phone

(651) 739-1248

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Upper Room wellness center Doing business as

Locations

Practitioners 2

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)
• Tony Preston Wangerin, D.C.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1649218371
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1083897243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 COUNTY ROAD E E",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551104637",
            "telephone_number": "651-739-1248",
            "fax_number": "651-264-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 COUNTY ROAD E E",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551104637",
            "telephone_number": "651-739-1248",
            "fax_number": "651-264-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URWC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "CONNERS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-739-1248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "344J1CO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "123840",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399527500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350056695",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Room wellness center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy M. St. Dennis, D.D.S., PLLC
• William R Turnquist, SA-C
• Twin Brothers Health Care LLC
• Ultimate Healthcare Services LLC
• Anwar Muhammad Umar
• Vadnais Heights Chiropractic
• Vadnais Heights Family Chiropractic, Inc.
• Vadnais Heights Family Dentistry, P.a.
• Vadnais Heights Surgery Center LLC
• Matthew Vang

• Chiropractor in Vadnais Heights, MN
• Providers in Vadnais Heights, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.