Individual provider Active NPI

John Christian Ward, D.C.

  • Chiropractor
  • Lake Elmo, MN
National Provider Identifier
1265649123
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4731 Issued in MN
Practice address
8931 Highway 5
Suite a
Lake Elmo, MN 55042-8900
Phone
(952) 239-0050
NPI assigned
May 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4731 MN Primary

Addresses

Primary practice location

8931 Highway 5
Suite a
Lake Elmo, MN 55042-8900

Mailing address

8931 Highway 5
Suite a
Lake Elmo, MN 55042-8900

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
4731MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Chiropractic Inc. CurrentSince Apr 29, 2015 Accepting new patients
Specific Family Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

104 Burnside Ave S
Red Wing, MN 55066
Phone (651) 267-0394

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265649123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8931 HIGHWAY 5",
            "address_2": "SUITE A",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8931 HIGHWAY 5",
            "address_2": "SUITE A",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428900",
            "telephone_number": "952-239-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JOHN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elmo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.