Organization Active NPI

Live Well Chiropractic Spa and Acupuncture Center

  • Chiropractor
  • Chanhassen, MN
National Provider Identifier
1225284342
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003321 Issued in MN
Legal business name
LIVE WELL CHIROPRACTIC SPA AND ACUPUNCTURE CENTER
Practice address
7975 Stone Creek Dr
Suite 20
Chanhassen, MN 55317-4614
Phone
(952) 746-8150
Fax
(952) 746-8152
NPI assigned
Aug 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Dr. Janelle Alise Becker-Puklich, DC
Title
Owner
Phone
(952) 746-8150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 003321 MN Primary

Addresses

Primary practice location

7975 Stone Creek Dr
Suite 20
Chanhassen, MN 55317-4614

Mailing address

7975 Stone Creek Dr
Suite 20
Chanhassen, MN 55317-4614
Phone (952) 746-8150

National Provider Directory

National Provider Directory

Locations

7975 Stone Creek Dr
Ste 20
Chanhassen, MN 55317
Phone (952) 746-8150

Practitioners & affiliated clinicians

Practitioners 2

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": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1225284342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 STONE CREEK DR",
            "address_2": "SUITE 20",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174614",
            "telephone_number": "952-746-8150",
            "fax_number": "952-746-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 STONE CREEK DR",
            "address_2": "SUITE 20",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174614",
            "telephone_number": "952-746-8150",
            "fax_number": "952-746-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL CHIROPRACTIC SPA AND ACUPUNCTURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "BECKER-PUKLICH",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_middle_name": "ALISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-746-8150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.