Active NPI
Live Well Adjusted, P.a.
- Rehabilitation Chiropractor
- Woodbury, MN
National Provider Identifier
1447853585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- Legal business name
- LIVE WELL ADJUSTED, P.A.
- Practice address
- 7803 Afton Rd Ste 2
Woodbury, MN 55125-1507 - Phone
- (651) 261-5020
- NPI assigned
- Nov 20, 2020
- Last updated
- Nov 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandy Peterson
- Title
- Office Coordinator
- Phone
- (651) 261-5020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | NU | Primary |
Addresses
Primary practice location
7803 Afton Rd Ste 2
Woodbury, MN 55125-1507
Mailing address
7803 Afton Rd Ste 2
Woodbury, MN 55125-1507
Phone (651) 261-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7096887 | Other | MN | MINNESOTA REGISTRATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7803 Afton Rd
Ste 2
Woodbury, MN 55125
Phone (651) 261-5020
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.
-
- Chiropractor
- Saint Paul, MN
- NPI 1841398336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667433600000",
"number": "1447853585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7803 AFTON RD STE 2",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251507",
"telephone_number": "651-261-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7803 AFTON RD STE 2",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251507",
"telephone_number": "651-261-5020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE WELL ADJUSTED, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-20",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "SANDY",
"authorized_official_title_or_position": "OFFICE COORDINATOR",
"authorized_official_telephone_number": "651-261-5020"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA REGISTRATION",
"identifier": "7096887",
"state": "MN"
}
],
"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 Nov 3, 2022; 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.