Organization Active NPI

Primary Wellness & Injury Center, P.a.

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1265830145
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5573 Issued in MN
Legal business name
PRIMARY WELLNESS & INJURY CENTER, P.A.
Practice address
1885 University Ave W Ste 229
Saint Paul, MN 55104-3478
Phone
(612) 237-9532
NPI assigned
Dec 9, 2014
Last updated
Dec 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Peter A Harmon, D.C.NPI 1255679353
Title
President
Phone
(612) 237-9532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5573 MN Primary

Addresses

Primary practice location

1885 University Ave W Ste 229
Saint Paul, MN 55104-3478

Mailing address

1885 University Ave W Ste 229
Saint Paul, MN 55104-3478
Phone (612) 237-9532

National Provider Directory

National Provider Directory

Locations

1885 University Ave W
Ste 229
Saint Paul, MN 55104
Phone (612) 237-9532

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1265830145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 UNIVERSITY AVE W STE 229",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043478",
            "telephone_number": "612-237-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 UNIVERSITY AVE W STE 229",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043478",
            "telephone_number": "612-237-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY WELLNESS & INJURY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-237-9532",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.