Organization Active NPI

Anne M. Werner D.C.,P.a.

Doing business as Countryside Chiropractic & Massage

  • Chiropractor
  • Bloomington, MN
National Provider Identifier
1467471433
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3912 Issued in MN
Legal business name
ANNE M. WERNER D.C.,P.A.
Doing business as
Countryside Chiropractic & Massage
Practice address
7700 W Old Shakopee Rd
Suite 125
Bloomington, MN 55438-3302
Phone
(952) 829-0262
Fax
(952) 829-0237
NPI assigned
Jul 19, 2006
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. Anne Marie Werner, D.C.
Title
President/Chiropractor
Phone
(952) 829-0262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3912 MN Primary

Addresses

Primary practice location

7700 W Old Shakopee Rd
Suite 125
Bloomington, MN 55438-3302

Mailing address

7700 W Old Shakopee Rd
Suite 125
Bloomington, MN 55438-3302
Phone (952) 829-0262

Other identifiers 1

IdentifierTypeStateIssuer
BLUECROSS BLUE SHIELOtherMN162D0WE

Other names 1

  • Countryside Chiropractic & Massage Doing business as

National Provider Directory

National Provider Directory

Locations

7700 W Old Shakopee Rd
Ste 125
Bloomington, MN 55438
Phone (952) 829-0262

Practitioners & affiliated clinicians

Practitioners 2

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467471433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 W OLD SHAKOPEE RD",
            "address_2": "SUITE 125",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554383302",
            "telephone_number": "952-829-0262",
            "fax_number": "952-829-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 W OLD SHAKOPEE RD",
            "address_2": "SUITE 125",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554383302",
            "telephone_number": "952-829-0262",
            "fax_number": "952-829-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE M. WERNER D.C.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "952-829-0262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "162D0WE",
            "identifier": "BLUECROSS BLUE SHIEL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countryside Chiropractic & Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, 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.