Organization Active NPI

Beyond Wellness Chiropractic, PLLC

  • Chiropractor
  • Savage, MN
National Provider Identifier
1477212660
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BEYOND WELLNESS CHIROPRACTIC, PLLC
Practice address
5773 Egan Dr
Savage, MN 55378-4917
Phone
(952) 652-3919
NPI assigned
Dec 15, 2021
Last updated
Dec 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Stephanie Ann A Foust, DC
Title
Owner/Chiropractor
Phone
(952) 652-3919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

5773 Egan Dr
Savage, MN 55378-4917

Mailing address

5773 Egan Dr
Savage, MN 55378-4917
Phone (952) 652-3919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220104001588 MN Part B Supplier - Clinic/Group Practice 4688065584 Receives reassigned benefits from 1 practitioner
Practice locations: Savage, MN

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1477212660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5773 EGAN DR",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553784917",
            "telephone_number": "952-652-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5773 EGAN DR",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553784917",
            "telephone_number": "952-652-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND WELLNESS CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "A FOUST",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "952-652-3919",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.

Verify at the official NPI Registry.