NPIMap

Organization Active NPI

Woodbury Family Chiropractic

  • Chiropractor
  • Woodbury, MN
National Provider Identifier
1427479617
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5459 Issued in MN
Legal business name
WOODBURY FAMILY CHIROPRACTIC
Practice address
2110 Eagle Creek LN Ste 400
Woodbury, MN 55129-3209
Phone
(612) 600-0819
NPI assigned
Dec 15, 2013
Last updated
Oct 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Lorraine Smaagaard, D.C.NPI 1477857522
Title
Chiropractor/President
Phone
(612) 600-0819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5459 MN Primary

Addresses

Primary practice location

2110 Eagle Creek LN Ste 400
Woodbury, MN 55129-3209

Mailing address

2110 Eagle Creek LN Ste 400
Woodbury, MN 55129-3209
Phone (612) 600-0819

Other practice location 1

704 W Washington St
2B
Brainerd, MN 56401
Phone (218) 454-2128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140124000542 MN Part B Supplier - Clinic/Group Practice 5092943837 Receives reassigned benefits from 8 practitioners
Practice locations: Woodbury, MN

National Provider Directory

National Provider Directory

Locations

2110 Eagle Creek Ln
Ste 400
Woodbury, MN 55129
Phone (612) 293-9294

8160 Coller Way
Ste B
Woodbury, MN 55125
Phone (612) 293-9294

Practitioners & affiliated clinicians

Practitioners 8

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": "1387065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1427479617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 EAGLE CREEK LN STE 400",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551293209",
            "telephone_number": "612-600-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 EAGLE CREEK LN STE 400",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551293209",
            "telephone_number": "612-600-0819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 W Washington St",
            "address_2": "2B",
            "address_purpose": "LOCATION",
            "city": "Brainerd",
            "state": "MN",
            "postal_code": "56401",
            "country_code": "US",
            "telephone_number": "218-454-2128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOODBURY FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-15",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "SMAAGAARD",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "612-600-0819",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.