Organization Active NPI

Chiropractic First

Doing business as ChiropracticUSA

  • Rehabilitation Chiropractor
  • Long Lake, MN
National Provider Identifier
1376721878
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
3845 Issued in MN
Legal business name
CHIROPRACTIC FIRST
Doing business as
ChiropracticUSA
Practice address
1850 W Wayzata Blvd
Long Lake, MN 55356-9491
Phone
(952) 476-2260
Fax
(952) 476-4457
NPI assigned
Feb 6, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Dr. Amy Michelle Willcockson, D.C.
Title
Owner
Phone
(952) 476-2260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 3845 MN Primary

Addresses

Primary practice location

1850 W Wayzata Blvd
Long Lake, MN 55356-9491

Mailing address

1850 W Wayzata Blvd
Long Lake, MN 55356-9491
Phone (952) 476-2260

Other names 1

  • ChiropracticUSA Doing business as

National Provider Directory

National Provider Directory

Locations

1850 W Wayzata Blvd
Long Lake, MN 55356
Phone (952) 476-2260

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1376721878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W WAYZATA BLVD",
            "city": "LONG LAKE",
            "state": "MN",
            "postal_code": "553569491",
            "telephone_number": "952-476-2260",
            "fax_number": "952-476-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W WAYZATA BLVD",
            "city": "LONG LAKE",
            "state": "MN",
            "postal_code": "553569491",
            "telephone_number": "952-476-2260",
            "fax_number": "952-476-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC FIRST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "WILLCOCKSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-476-2260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MN",
            "license": "3845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChiropracticUSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.