Jason O. Wallin Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3838 Issued in MN

Legal business name

JASON O. WALLIN CHIROPRACTIC, PA

Practice address

4717 Hiawatha Ave So
Minneapolis, MN 55406

Phone

(612) 721-2146

NPI assigned

Mar 2, 2012

Last updated

Mar 16, 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. Jason O Wallin, DCNPI 1679628309

Title

Chiropractor/Owner

Phone

(612) 721-2146

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.

• Jason Owen Wallin, DC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1679628309
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1184998510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 HIAWATHA AVE SO",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55406",
            "telephone_number": "612-721-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 HIAWATHA AVE SO",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55406",
            "telephone_number": "612-721-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON O. WALLIN CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "WALLIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "612-721-2146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann M Jarvis
• Alfred Corma Jaryan Jr., MA, LMFT
• Brittany Ann Jarzemski
• Charles Frederick Jaschek, MD
• Diane Jaskoviak, LP
• Caroline Jasper, OTD, OTR/L
• Faith Marie Jaspersen, LICSW
• Lauren Louise Jasperson, MS, LADC, LPCC
• Stacey Jassey, PHARMD
• Bhaskarani Jasthi, RD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.