Organization Active NPI

A Center for Chiropractic and Acupunture PA

  • Medical Specialty Clinic/Center
  • Woodbury, MN
National Provider Identifier
1184708117
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
3627687 Issued in MN
Legal business name
A CENTER FOR CHIROPRACTIC AND ACUPUNTURE PA
Practice address
1803 Woodlane Dr
Woodbury, MN 55125-2910
Phone
(651) 739-2225
Fax
(651) 739-3313
NPI assigned
Oct 25, 2006
Last updated
Feb 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Diane Lynn Johnson
Title
Administrator
Phone
(651) 739-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 3627687 MN Primary

Addresses

Primary practice location

1803 Woodlane Dr
Woodbury, MN 55125-2910

Mailing address

1803 Woodlane Dr
Woodbury, MN 55125-2910
Phone (651) 739-2225

Other identifiers 1

IdentifierTypeStateIssuer
769984100MedicaidMN

National Provider Directory

National Provider Directory

Locations

1803 Woodlane Dr
Woodbury, MN 55125
Phone (612) 739-2225

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1184708117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 WOODLANE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252910",
            "telephone_number": "651-739-2225",
            "fax_number": "651-739-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 WOODLANE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252910",
            "telephone_number": "651-739-2225",
            "fax_number": "651-739-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CENTER FOR CHIROPRACTIC AND ACUPUNTURE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-739-2225"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MN",
            "license": "3627687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "769984100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.