NPIMap

Organization Active NPI

En Motion Wellness, LLC

  • Chiropractor
  • St Paul, MN
National Provider Identifier
1457629685
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1116 Issued in MN
Legal business name
EN MOTION WELLNESS, LLC
Practice address
1036 Cleveland Ave S
St Paul, MN 55116
Phone
(651) 699-3366
Fax
(651) 699-5780
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Mr. Robert Clarence Slater, DC
Title
Chief Manager Owner
Phone
(651) 699-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1116 MN Primary

Addresses

Primary practice location

1036 Cleveland Ave S
St Paul, MN 55116

Mailing address

1036 Cleveland Ave S
St Paul, MN 55116
Phone (651) 699-3366

Other names 1

  • Healing Hands Wellness Center, LLC Doing business as

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": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1457629685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 CLEVELAND AVE S",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55116",
            "telephone_number": "651-699-3366",
            "fax_number": "651-699-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 CLEVELAND AVE S",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55116",
            "telephone_number": "651-699-3366",
            "fax_number": "651-699-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EN MOTION WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CLARENCE",
        "authorized_official_title_or_position": "CHIEF MANAGER OWNER",
        "authorized_official_telephone_number": "651-699-3366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Hands Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.