Organization Active NPI

Healthy Happy Whole, LLC

  • Clinic/Center
  • East Grand Forks, MN
National Provider Identifier
1285188706
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1755 Issued in MN
Legal business name
HEALTHY HAPPY WHOLE, LLC
Practice address
406 3Rd St NW
East Grand Forks, MN 56721-1713
Phone
(989) 720-4325
NPI assigned
Aug 12, 2016
Last updated
Aug 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Korina K St John Rongitsch, L.ACNPI 1962143511
Title
Licensed Acupuncturist
Phone
(989) 720-4325

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
Clinic/Center 261Q00000X 1755 MN Primary

Addresses

Primary practice location

406 3Rd St NW
East Grand Forks, MN 56721-1713

Mailing address

406 3Rd St NW
East Grand Forks, MN 56721-1713
Phone (989) 720-4325

Other identifiers 1

IdentifierTypeStateIssuer
1755OtherMNMINNESOTA BOARD OF MEDICAL PRACTICE, LIC #

National Provider Directory

National Provider Directory

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": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1285188706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 3RD ST NW",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211713",
            "telephone_number": "989-720-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 3RD ST NW",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211713",
            "telephone_number": "989-720-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HAPPY WHOLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "ST JOHN RONGITSCH",
        "authorized_official_first_name": "KORINA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "989-720-4325",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "1755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BOARD OF MEDICAL PRACTICE, LIC #",
            "identifier": "1755",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Grand Forks, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.