Individual provider Active NPI

Mariah Wolfe

  • Chiropractor
  • Minnetonka, MN
National Provider Identifier
1376339754
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1992002661 Issued in MN
Practice address
12455 Ridgedale Dr Ste 203
Minnetonka, MN 55305-1786
Phone
(952) 314-7035
NPI assigned
Apr 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1992002661 MN Primary

Addresses

Primary practice location

12455 Ridgedale Dr Ste 203
Minnetonka, MN 55305-1786

Mailing address

2735 Garfield Ave Apt 4
Minneapolis, MN 55408-1361
Phone (419) 577-0357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1992002661MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunu Chiropractic, Inc. Chiropractor CurrentSince Apr 20, 2025 Accepting new patients

Locations

12455 Ridgedale Dr
Ste 203
Minnetonka, MN 55305
Phone (952) 314-7035

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1376339754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 GARFIELD AVE APT 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081361",
            "telephone_number": "419-577-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 RIDGEDALE DR STE 203",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051786",
            "telephone_number": "952-314-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "MARIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1992002661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.