NPIMap

Organization Active NPI

Urban Chiropractic

  • Chiropractor
  • Roseville, MN
National Provider Identifier
1457568768
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3525 Issued in MN
Legal business name
URBAN CHIROPRACTIC
Practice address
2353 Rice St
Suite 225
Roseville, MN 55113-3739
Phone
(651) 288-3098
Fax
(651) 288-3078
NPI assigned
May 17, 2007
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. Jason Wilson, D.C.NPI 1497874333
Title
Chiropractor
Phone
(651) 288-3098

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3525 MN Primary

Addresses

Primary practice location

2353 Rice St
Suite 225
Roseville, MN 55113-3739

Mailing address

2353 Rice St
Suite 225
Roseville, MN 55113-3739
Phone (651) 288-3098

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457568768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 RICE ST",
            "address_2": "SUITE 225",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133739",
            "telephone_number": "651-288-3098",
            "fax_number": "651-288-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 RICE ST",
            "address_2": "SUITE 225",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133739",
            "telephone_number": "651-288-3098",
            "fax_number": "651-288-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "651-288-3098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, 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.