Vitality Health and Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4915 Issued in MN

Legal business name

VITALITY HEALTH AND WELLNESS

Practice address

12100 Singletree LN Ste 129
Eden Prairie, MN 55344-7937

Phone

(952) 746-1256

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Wayne Haase, D.C.

Title

Owner

Phone

(952) 746-1256

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1447436944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 SINGLETREE LN STE 129",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447937",
            "telephone_number": "952-746-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 SINGLETREE LN STE 129",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447937",
            "telephone_number": "952-746-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "HAASE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-746-1256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virtual Radiologic Professionals of New Jersey, P.a.
• Virtuous Nursing Care PLLC
• Vision World Inc
• Visionworks, Inc.
• Vital Elements Healing Center LLC
• Elizabeth Ann Vogstrom, PA-C
• Casondra Voigt, PA-C
• Cynthia Lee Voigt
• Steven Lawrence Vollmer, R.PH.
• Carolyn M. Vonweiss, M.A., L.P.

• Chiropractor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.