Specific Health & Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPECIFIC HEALTH & CHIROPRACTIC PLLC

Practice address

2785 White Bear Ave N Ste 108
Maplewood, MN 55109-1320

Phone

(651) 415-0418

Fax

(651) 415-0106

NPI assigned

Jun 13, 2019

Organization subpart

No

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

Authorized official

Name

Colleen Winberg

Title

Clinic Manager

Phone

(651) 289-0344

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Michael Lavell, D.C.

  • Chiropractor
  • Maplewood, MN
  • NPI 1285700229
  Medicare reassignment Care Compare group NPD
• Chad Richard Young, D.C.

  • Chiropractor
  • Maplewood, MN
  • NPI 1912192691
  Medicare reassignment Care Compare group NPD
• Jeffrey Andrew McDonald, DC

  • Chiropractor
  • Bemidji, MN
  • NPI 1972162550
  Medicare reassignment NPD
• Anna Miller-Gyaase, DC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1841955192
  Medicare reassignment NPD

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1275192197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N STE 108",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091320",
            "telephone_number": "651-415-0418",
            "fax_number": "651-415-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N STE 108",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091320",
            "telephone_number": "651-415-0418",
            "fax_number": "651-415-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIFIC HEALTH & CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "WINBERG",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "651-289-0344"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "twincitiesoc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Communication",
            "address_1": "2785 White Bear Ave N Ste 108",
            "city": "Maplewood",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551091320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luke William Solheid, PA
• South Metro Human Services
• Margaret Elizabeth Fischer Spartz, MD
• Specialty Surgery Center for Women, Inc
• Specific Family Chiropractic, LLC
• Lindsey Spedevick, RPH
• Theodore M Spiess, CRNA
• Michael Jonathon Splett, DDS
• St Paul Eye Clinic PA
• St. Croix Orthopaedics, P.a.

• Chiropractor in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.