Organization Active NPI

Shari E. Aultman DC

Doing business as Healing Hands Chiropractic Center

  • Chiropractor
  • Grand Rapids, MN
National Provider Identifier
1477638310
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2605 Issued in MN
Legal business name
SHARI E. AULTMAN DC
Doing business as
Healing Hands Chiropractic Center
Practice address
1007 NW 4TH St Ste B
Grand Rapids, MN 55744-2203
Phone
(218) 326-0046
Fax
(218) 327-1543
NPI assigned
Oct 26, 2006
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Dr. Shari E AultmanNPI 1174616361
Title
Owner
Phone
(218) 326-0046

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 2605 MN Primary

Addresses

Primary practice location

1007 NW 4TH St Ste B
Grand Rapids, MN 55744-2203

Mailing address

1007 NW 4TH St Ste B
Grand Rapids, MN 55744-2203
Phone (218) 326-0046

Other identifiers 1

IdentifierTypeStateIssuer
432910400MedicaidMN

Other names 1

  • Healing Hands Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040228000168 MN Part B Supplier - Clinic/Group Practice 1557258217 Receives reassigned benefits from 2 practitioners
Practice locations: Grand Rapids, MN

National Provider Directory

National Provider Directory

Locations

1007 NW 4th St
#B
Grand Rapids, MN 55744
Phone (218) 326-0046

1891 E Highway 2
Grand Rapids, MN 55744
Phone (218) 326-0046

401 SE 11th St
Grand Rapids, MN 55744
Phone (218) 326-0046

Practitioners & affiliated clinicians

Practitioners 3

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1477638310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 NW 4TH ST STE B",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442203",
            "telephone_number": "218-326-0046",
            "fax_number": "218-327-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 NW 4TH ST STE B",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442203",
            "telephone_number": "218-326-0046",
            "fax_number": "218-327-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARI E. AULTMAN DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "AULTMAN",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-326-0046",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432910400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Hands Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.