Active NPI
Anne M. Werner D.C.,P.a.
Doing business as Countryside Chiropractic & Massage
- Chiropractor
- Bloomington, MN
National Provider Identifier
1467471433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3912
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BLUECROSS BLUE SHIEL | Other | MN | 162D0WE |
Other names 1
- Countryside Chiropractic & Massage
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Bloomington, MN
- NPI 1982626123
-
- Chiropractor
- Hartford, WI
- NPI 1215989165
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.