Organization Active NPI

Healing Hands Wellness Center LLC

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1306021258
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4864 Issued in MN
Legal business name
HEALING HANDS WELLNESS CENTER LLC
Practice address
1036 Cleveland Ave S
Saint Paul, MN 55116-1826
Phone
(651) 699-3366
NPI assigned
Jan 9, 2008
Last updated
Oct 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Dr. Eric A Starbuck, DC
Title
Owner
Phone
(651) 699-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4864 MN Primary

Addresses

Primary practice location

1036 Cleveland Ave S
Saint Paul, MN 55116-1826

Mailing address

1036 Cleveland Ave S
Saint Paul, MN 55116-1826
Phone (651) 699-3366

Other identifiers 2

IdentifierTypeStateIssuer
637649500MedicaidMN
381L7JUOtherMNBCBS CLINIC ID

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": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1306021258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161826",
            "telephone_number": "651-699-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161826",
            "telephone_number": "651-699-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "STARBUCK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-699-3366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "637649500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC ID",
            "identifier": "381L7JU",
            "state": "MN"
        }
    ],
    "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 Oct 16, 2009; 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.