Organization Active NPI

Urwc, PA

Doing business as Upper Room wellness center

  • Chiropractor
  • Vadnais Heights, MN
National Provider Identifier
1083897243
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2372 Issued in MN
Legal business name
URWC, PA
Doing business as
Upper Room wellness center
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
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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.NPI 1699828210
Title
President
Phone
(651) 739-1248

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2372 MN Primary

Addresses

Primary practice location

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

Mailing address

1654 County Road E E
Vadnais Heights, MN 55110-4637
Phone (651) 739-1248

Other names 1

  • Upper Room wellness center Doing business as

National Provider Directory

National Provider Directory

Locations

1654 County Road E E
Vadnais Heights, MN 55110
Phone (651) 739-1248

Practitioners & affiliated clinicians

Practitioners 3

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": "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Room wellness center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vadnais Heights, MN

Sources for this page

  • 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.