Individual provider Active NPI

Una Yvette Forde, D.C.

  • Chiropractor
  • Bloomington, MN
National Provider Identifier
1407863590
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2875 Issued in MN
Practice address
220 W 98TH St Ste 7
Bloomington, MN 55420-2000
Phone
(952) 922-1478
Fax
(952) 922-0248
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2875 MN Primary

Addresses

Primary practice location

220 W 98TH St Ste 7
Bloomington, MN 55420-2000

Mailing address

220 W 98TH St Ste 7
Bloomington, MN 55420-2000
Phone (952) 922-1478

Other identifiers 1

IdentifierTypeStateIssuer
7482281-00MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525000310 MN Practitioner - Chiropractic 7810988193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 W 98TH St
Suite 7
Bloomington, MN 55420-2000
Phone (952) 922-1478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Sun Chiropractic Wellness Center, PLLC Chiropractor CurrentSince Sep 11, 2003 Accepting new patients

Locations

220 W 98th St
Ste 7
Minneapolis, MN 55420
Phone (952) 922-1478

5009 Excelsior Blvd
Ste 100
St Louis Park, MN 55416
Phone (612) 799-7982

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1407863590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W 98TH ST STE 7",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202000",
            "telephone_number": "952-922-1478",
            "fax_number": "952-922-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 98TH ST STE 7",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202000",
            "telephone_number": "952-922-1478",
            "fax_number": "952-922-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDE",
        "first_name": "UNA",
        "middle_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7482281-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.