Woodbury Spine and Injury Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5068 Issued in MN

Legal business name

WOODBURY SPINE AND INJURY CENTER

Doing business as

Woodbury Spine Wellness Center

Practice address

8147 Globe Dr Ste 100
Woodbury, MN 55125-3379

Phone

(651) 731-0505

Fax

(651) 731-0500

NPI assigned

Aug 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Justin DW Nye, DCNPI 1962689901

Title

President

Phone

(651) 731-0505

Specialties & licenses 1

Addresses

Other names 1

• Woodbury Spine Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin D.W. Nye, D.C.

  • Chiropractor
  • Woodbury, MN
  • NPI 1962689901
  Medicare reassignment Care Compare group NPD Authorized official
• Cole Karcz, DC

  • Chiropractor
  • West Fargo, ND
  • NPI 1750151700

  MN

  Medicare reassignment Care Compare group NPD
• Noah Leelynd Barnard, DC

  • Chiropractor
  • Woodbury, MN
  • NPI 1083554604
  Medicare reassignment NPD
• Kou Yang, DC

  • Chiropractor
  • Saint Paul, MN
  • NPI 1639845951
  Medicare reassignment NPD
• Preston Frederick, DC

  • Chiropractor
  • Woodbury, MN
  • NPI 1639870512
  NPD (past)
• Ian Patrick McCann, D.C.

  • Chiropractor
  • Chanhassen, MN
  • NPI 1386007607
  NPD (past)

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1477868891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8147 GLOBE DRIVE SUITE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252040",
            "telephone_number": "651-731-0505",
            "fax_number": "651-731-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8147 GLOBE DR STE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253379",
            "telephone_number": "651-731-0505",
            "fax_number": "651-731-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY SPINE AND INJURY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "NYE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "DW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-731-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbury Spine Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Woodbury Obstetrics & Gynecology
• Woodbury Plastic Surgery PA
• Woodbury Progressive Medical Associates PC (HealthMax Progressive Medicine)
• Woodbury Sleep Solutions PA
• Woodbury Smiles Dentistry, PC (Woodbury Smiles Dentistry)
• Woodbury Surgery Center, LLC
• Woodbury Surgery Center, LLC
• Woodbury Surgical Suites, LLC
• Hope F Woodbury, LPN
• Woodgrove Dental PA

• Chiropractor in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.