Individual provider Active NPI

Michael Rees, DC

  • Chiropractor
  • Wayzata, MN
National Provider Identifier
1255983490
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6570 Issued in MN
Practice address
1133 Wayzata Blvd E Ste B
Wayzata, MN 55391-1950
Phone
(612) 208-3046
NPI assigned
Jul 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6570 MN Primary

Addresses

Primary practice location

1133 Wayzata Blvd E Ste B
Wayzata, MN 55391-1950

Mailing address

17730 26TH Ave N
Plymouth, MN 55447-1606
Phone (218) 556-7064

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
6570MNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1255983490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17730 26TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471606",
            "telephone_number": "218-556-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 WAYZATA BLVD E STE B",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911950",
            "telephone_number": "612-208-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REES",
        "first_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.