Active NPI
Wertish Chiropractic, LLC
- Health Maintenance Organization
- Minneapolis, MN
National Provider Identifier
1235581059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 6224
- Legal business name
- WERTISH CHIROPRACTIC, LLC
- Practice address
- 401 N 3Rd St Ste 220
Minneapolis, MN 55401-1349 - Phone
- (320) 522-1316
- NPI assigned
- Jul 5, 2016
- 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
- Jaclyn Wertish, D.C.
- Title
- Chiropractor
- Phone
- (320) 522-1316
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 6224 | MN | Primary |
Addresses
Primary practice location
401 N 3Rd St Ste 220
Minneapolis, MN 55401-1349
Mailing address
42720 795TH Ave
Hector, MN 55342-1204
Phone (320) 522-1316
National Provider Directory
National Provider DirectoryLocations
401 3rd St N
Ste 220
Minneapolis, MN 55401
Phone (218) 851-4416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467676800000",
"number": "1235581059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42720 795TH AVE",
"city": "HECTOR",
"state": "MN",
"postal_code": "553421204",
"telephone_number": "320-522-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N 3RD ST STE 220",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554011349",
"telephone_number": "320-522-1316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WERTISH CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-05",
"last_updated": "2016-07-05",
"status": "A",
"authorized_official_last_name": "WERTISH",
"authorized_official_first_name": "JACLYN",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "320-522-1316",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "MN",
"license": "6224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.