Organization Active NPI

Spinal Care One, PA

  • Chiropractor
  • Stillwater, MN
National Provider Identifier
1174617104
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2898 Issued in MN
Legal business name
SPINAL CARE ONE, PA
Doing business as
stillpoint
Practice address
333 Main St N
Suite 203
Stillwater, MN 55082-5098
Phone
(651) 430-0018
Fax
(651) 430-0019
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kirk Nelson, DC
Title
Owner
Phone
(651) 430-0018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2898 MN Primary

Addresses

Primary practice location

333 Main St N
Suite 203
Stillwater, MN 55082-5098

Mailing address

333 Main St N
Suite 203
Stillwater, MN 55082-5098
Phone (651) 430-0018

Other names 1

  • stillpoint Doing business as

National Provider Directory

National Provider Directory

Locations

1808 Riverside Ave
Ste 210
Minneapolis, MN 55454
Phone (612) 672-9225

333 Main St N
Ste 203
Stillwater, MN 55082
Phone (651) 430-0018

Practitioners & affiliated clinicians

Practitioners 1

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174617104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MAIN ST N",
            "address_2": "SUITE 203",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825098",
            "telephone_number": "651-430-0018",
            "fax_number": "651-430-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAIN ST N",
            "address_2": "SUITE 203",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825098",
            "telephone_number": "651-430-0018",
            "fax_number": "651-430-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL CARE ONE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-430-0018",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "stillpoint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stillwater, MN

Sources for this page

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