Vitality Chiropractic, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

VITALITY CHIROPRACTIC, LLC

Practice address

324 5TH Ave N
Bayport, MN 55003-1201

Phone

(651) 342-2199

Fax

(651) 342-2090

NPI assigned

Jul 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Marilyn Delander, DCNPI 1275985335

Title

Chiropractor

Phone

(651) 342-2199

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Kathleen Delander, D.C

  • Chiropractor
  • Bayport, MN
  • NPI 1275985335
  NPD Authorized official

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1154949758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 5TH AVE N",
            "city": "BAYPORT",
            "state": "MN",
            "postal_code": "550031201",
            "telephone_number": "651-342-2199",
            "fax_number": "651-342-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 5TH AVE N",
            "city": "BAYPORT",
            "state": "MN",
            "postal_code": "550031201",
            "telephone_number": "651-342-2199",
            "fax_number": "651-342-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "DELANDER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARILYN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "651-342-2199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275985335",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.vitalitychiropracticmn.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "324 5th Ave N",
            "city": "Bayport",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550031201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brent D. Plackner, PA-C
• Stanley Dwight Quanbeck, M.D.
• Kelly Rae Schwartzbauer
• William B Shea, D.D.S.
• Cynthia Silva, RDN, LD
• David William Wieden, D.C.
• Tara K Woodland, CNP

• Health Service Clinic/Center in Bayport, MN
• Providers in Bayport, MN by specialty
• Health Service Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.