Chiropractic Concepts LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5310 Issued in MN

Legal business name

CHIROPRACTIC CONCEPTS LLC

Practice address

3311 County Road 101 S Ste 2
Wayzata, MN 55391-2879

Phone

(952) 405-6853

Fax

(952) 406-8060

NPI assigned

Apr 5, 2012

Last updated

Apr 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Megan Ann Ellwanger, DCNPI 1548590896

Title

Chiropractor /Ceo

Phone

(952) 405-6853

Specialties & licenses 1

Addresses

Locations

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.

• Megan Ann Ellwanger, D.C.

  • Chiropractor
  • Minnetonka, MN
  • NPI 1548590896
  Authorized official Same address or phone

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1356607238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 COUNTY ROAD 101 S STE 2",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912879",
            "telephone_number": "952-405-6853",
            "fax_number": "952-406-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 COUNTY ROAD 101 S STE 2",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912879",
            "telephone_number": "952-405-6853",
            "fax_number": "952-406-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "ELLWANGER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIROPRACTOR /CEO",
        "authorized_official_telephone_number": "952-405-6853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

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