Active NPI
A Center for Chiropractic and Acupunture PA
- Medical Specialty Clinic/Center
- Woodbury, MN
National Provider Identifier
1184708117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 3627687
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 769984100 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Woodbury, MN
- NPI 1881778819
-
- Chiropractor
- Norfolk, NE
- NPI 1659313666
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.