Organization Active NPI

Spinal Wellness Center Inc.

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1124272398
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3784 Issued in MN
Legal business name
SPINAL WELLNESS CENTER INC.
Practice address
2574 Rice St
Saint Paul, MN 55113-3712
Phone
(651) 779-8883
Fax
(651) 779-8898
NPI assigned
Nov 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Dr. Troy Stuckey, D.C.
Title
Chiropractor
Phone
(651) 779-8883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3784 MN Primary

Addresses

Primary practice location

2574 Rice St
Saint Paul, MN 55113-3712

Mailing address

2574 Rice St
Saint Paul, MN 55113-3712
Phone (651) 779-8883

National Provider Directory

National Provider Directory

Locations

2574 Rice St
Saint Paul, MN 55113
Phone (651) 779-8883

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1124272398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2574 RICE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551133712",
            "telephone_number": "651-779-8883",
            "fax_number": "651-779-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2574 RICE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551133712",
            "telephone_number": "651-779-8883",
            "fax_number": "651-779-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "STUCKEY",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "651-779-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.