Wellspring Spinal Care, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5746 Issued in MN

Legal business name

WELLSPRING SPINAL CARE, PC

Practice address

540 Greenhaven Rd
Suite 204
Anoka, MN 55303-1674

Phone

(952) 303-9124

NPI assigned

Nov 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Eric James Ortman, D.C.

Title

Ceo

Phone

(952) 303-9124

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1336512920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12209 DAVENPORT ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494740",
            "telephone_number": "952-303-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 GREENHAVEN RD",
            "address_2": "SUITE 204",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553031674",
            "telephone_number": "952-303-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING SPINAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "ORTMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-303-9124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Weil, MD
• Nancy Weirens
• Shari M Weisz, M.S. CCC-SLP
• Timothy Michal Welch, H.I.D.
• Wellmark Non-Emergency Transportation LLC
• Jordan Westergren
• Kathy Mae Wiebusch, RN
• Elizabeth Joy Wienke, M.A.
• Mona Wigen, CMT
• Lisa Wilken

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.