NPIMap

Organization Active NPI

Midwest Chiropractic and Wellness

  • Chiropractor
  • Eden Prairie, MN
National Provider Identifier
1144551383
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5332 Issued in MN
Legal business name
MIDWEST CHIROPRACTIC AND WELLNESS
Practice address
8941 Aztec Dr
Eden Prairie, MN 55347-1916
Phone
(701) 388-2000
NPI assigned
Jan 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Dr. Scott Walter
Title
Owner
Phone
(701) 388-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5332 MN Primary

Addresses

Primary practice location

8941 Aztec Dr
Eden Prairie, MN 55347-1916

Mailing address

17578 Haralson Dr
Eden Prairie, MN 55347-3535
Phone (701) 388-2000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1144551383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17578 HARALSON DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553473535",
            "telephone_number": "701-388-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8941 AZTEC DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471916",
            "telephone_number": "701-388-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-388-2000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.