Organization Active NPI

Momentum Health & Wellness, PLLC

  • Chiropractor
  • Excelsior, MN
National Provider Identifier
1316506678
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOMENTUM HEALTH & WELLNESS, PLLC
Practice address
261 School Ave Ste 100
Excelsior, MN 55331-1958
Phone
(612) 208-3225
NPI assigned
Jun 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Dr. Claire McDevitt, DC
Title
Chiropractor, Owner
Phone
(612) 594-9336

Specialties & licenses 1

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

Addresses

Primary practice location

261 School Ave Ste 100
Excelsior, MN 55331-1958

Mailing address

8525 Mission Hills LN
Chanhassen, MN 55317-7713
Phone (612) 208-3225

Other identifiers 1

IdentifierTypeStateIssuer
1639734007OtherDOCTOR'S NPI

National Provider Directory

National Provider Directory

Locations

261 School Ave
Ste 100
Excelsior, MN 55331
Phone (612) 208-3225

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1316506678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 MISSION HILLS LN",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553177713",
            "telephone_number": "612-208-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 SCHOOL AVE STE 100",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553311958",
            "telephone_number": "612-208-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM HEALTH & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "MCDEVITT",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "CHIROPRACTOR, OWNER",
        "authorized_official_telephone_number": "612-594-9336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTOR'S NPI",
            "identifier": "1639734007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.