Andrew W Ulvin Dcpa

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3840 Issued in MN

Legal business name

ANDREW W ULVIN DCPA

Practice address

30962 Fenway Ave N
Unit 400
Stacy, MN 55079-9659

Phone

(651) 462-3243

NPI assigned

Sep 16, 2010

Last updated

Feb 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew William Ulvin, D.C.NPI 1083798375

Title

Owner

Phone

(651) 462-3243

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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.

• Andrew William Ulvin, D.C.

  • Chiropractor
  • Taylors Falls, MN
  • NPI 1083798375
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1154639854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30962 FENWAY AVE N",
            "address_2": "P.O. BOX 298",
            "city": "STACY",
            "state": "MN",
            "postal_code": "550799659",
            "telephone_number": "651-462-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30962 FENWAY AVE N",
            "address_2": "UNIT 400",
            "city": "STACY",
            "state": "MN",
            "postal_code": "550799659",
            "telephone_number": "651-462-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW W ULVIN DCPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "ULVIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-462-3243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Stacy, MN
• Providers in Stacy, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.