NPIMap

Organization Active NPI

Hopkins Health and Wellness Center PA

  • Chiropractor
  • Hopkins, MN
National Provider Identifier
1396932067
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2838;3891;3003;4761 Issued in MN
Legal business name
HOPKINS HEALTH AND WELLNESS CENTER PA
Practice address
15 8TH Ave N
Hopkins, MN 55343-7611
Phone
(952) 933-5085
Fax
(952) 931-2159
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Mr. Shannon Troy Jones
Title
Business Office Manager
Phone
(952) 933-5085

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2838;3891;3003;4761 MN Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 45178; 0265 MN
Physical Therapy Clinic/Center 261QP2000X 7592; 7083; 5775 MN
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

15 8TH Ave N
Hopkins, MN 55343-7611

Mailing address

15 8TH Ave N
Hopkins, MN 55343-7611
Phone (952) 933-5085

Other identifiers 3

IdentifierTypeStateIssuer
123413700MedicaidMN
8B135GIOtherMNBLUE CROSS BLUE SHIELD
4C625-HOOtherMNBLUE CROSS BLUE SHIELD

Other names 2

  • DMR Clinic Woodbury Doing business as
  • Hopkins Back and Neck Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050112000213 MN Part B Supplier - Clinic/Group Practice 5496703829 Receives reassigned benefits from 28 practitioners
Practice locations: Edina, MN; Hopkins, MN; Woodbury, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2177032Hopkins Health & Wellness Center15 8TH Ave N, Hopkins, MN 55343Certificate of waiverJan 1, 2028

National Provider Directory

National Provider Directory

Locations

15 8th Ave N
Hopkins, MN 55343
Phone (952) 933-5085

1687 Woodlane Dr
Ste 201
Woodbury, MN 55125
Phone (651) 621-8803

Practitioners & affiliated clinicians

Practitioners 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1396932067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 8TH AVE N",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437611",
            "telephone_number": "952-933-5085",
            "fax_number": "952-931-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 8TH AVE N",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437611",
            "telephone_number": "952-933-5085",
            "fax_number": "952-931-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPKINS HEALTH AND WELLNESS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "952-933-5085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2838;3891;3003;4761",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "45178; 0265",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MN",
            "license": "7592; 7083; 5775",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123413700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8B135GI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4C625-HO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMR Clinic Woodbury",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hopkins Back and Neck Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hopkins Back and Neck Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.