Organization Active NPI

Wellness 1St Chiropractic LTD

  • Chiropractor
  • Gaylord, MN
National Provider Identifier
1346437795
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELLNESS 1ST CHIROPRACTIC LTD
Practice address
311 5TH St
Gaylord, MN 55334-4412
Phone
(507) 237-2459
Fax
(507) 237-5321
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Authorized official

Name
Todd McGillick, DC
Title
Doctor
Phone
(507) 237-2459

Specialties & licenses 1

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

Addresses

Primary practice location

311 5TH St
Gaylord, MN 55334-4412

Mailing address

311 5TH St
Gaylord, MN 55334-4412
Phone (507) 237-2459

Other identifiers 2

IdentifierTypeStateIssuer
555S0WEOtherMNBCBS
272228300MedicaidMN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1346437795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 5TH ST",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "553344412",
            "telephone_number": "507-237-2459",
            "fax_number": "507-237-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 5TH ST",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "553344412",
            "telephone_number": "507-237-2459",
            "fax_number": "507-237-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS 1ST CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "MCGILLICK",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "507-237-2459",
        "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": "BCBS",
            "identifier": "555S0WE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272228300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.