Healthwise Family Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4853 Issued in MN

Legal business name

HEALTHWISE FAMILY CHIROPRACTIC, P.A.

Practice address

3803 Silver Lake Road
Unit 100
St Anthony, MN 55421

Phone

(612) 789-1700

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Angela Marie Blomberg, DC

Title

President

Phone

(612) 789-1700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 3

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

• Steven Marc Cohn, D.C.

  • Chiropractor
  • St Louis Park, MN
  • NPI 1962565507
  Medicare reassignment Care Compare group NPD
• Angela Marie Maurer, D.C.

  • Chiropractor
  • Minneapolis, MN
  • NPI 1962597997
  Medicare reassignment Care Compare group NPD
• Grant Alexander Redstone, D.C. FIAMA, PC

  • Chiropractor
  • Blaine, MN
  • NPI 1821233164
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1336216522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 SILVER LAKE ROAD",
            "address_2": "UNIT 100",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "55421",
            "telephone_number": "612-789-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 SILVER LAKE ROAD",
            "address_2": "UNIT 100",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "55421",
            "telephone_number": "612-789-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE FAMILY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "BLOMBERG",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-789-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Shedrack Harness
• Hodan Rashid Harun
• Nima Abdullahi Hassan
• Shukri Hassan
• Farhiya Mohamud Hassen
• Hodan Hersi
• Kelly A Hood, PAC
• Deeqaifrah A Hussein
• Hamdi Hussein
• Ilham Hussein

• Chiropractor in St Anthony, MN
• Providers in St Anthony, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.