Organization Active NPI

St Cloud Chiropractic

  • Chiropractor
  • Saint Cloud, MN
National Provider Identifier
1447476734
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1313 Issued in MN
Legal business name
ST CLOUD CHIROPRACTIC
Practice address
437 33Rd Ave N
Saint Cloud, MN 56303-4846
Phone
(320) 252-5599
Fax
(320) 253-4585
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dennis Alan Woggon, DC
Title
Chiropractor
Phone
(320) 252-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1313 MN Primary

Addresses

Primary practice location

437 33Rd Ave N
Saint Cloud, MN 56303-4846

Mailing address

437 33Rd Ave N
Saint Cloud, MN 56303-4846
Phone (320) 252-5599

Other identifiers 1

IdentifierTypeStateIssuer
55417CLOtherMNBLUE CROSS

National Provider Directory

National Provider Directory

Locations

437 33rd Ave N
Saint Cloud, MN 56303
Phone (320) 252-5599

Practitioners & affiliated clinicians

Practitioners 1

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447476734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 33RD AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034846",
            "telephone_number": "320-252-5599",
            "fax_number": "320-253-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 33RD AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034846",
            "telephone_number": "320-252-5599",
            "fax_number": "320-253-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLOUD CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOGGON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "320-252-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "55417CL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.