Individual provider Active NPI

William C Harralson, D.C.

  • Occupational Health Chiropractor
  • Saint Louis Park, MN
National Provider Identifier
1245272186
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
3746 Issued in MN
Practice address
3015 Utah Ave S
Suite 200
Saint Louis Park, MN 55426-3671
Phone
(952) 933-1121
Fax
(952) 945-9635
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X 3746 MN Primary

Addresses

Primary practice location

3015 Utah Ave S
Suite 200
Saint Louis Park, MN 55426-3671

Mailing address

3015 Utah Ave S
Suite 200
Saint Louis Park, MN 55426-3671
Phone (952) 933-1121

Other identifiers 1

IdentifierTypeStateIssuer
3746OtherMNLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3746MNMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245272186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 UTAH AVE S",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554263671",
            "telephone_number": "952-933-1121",
            "fax_number": "952-945-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 UTAH AVE S",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554263671",
            "telephone_number": "952-933-1121",
            "fax_number": "952-945-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRALSON",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "MN",
            "license": "3746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3746",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.