Organization Active NPI

Risvold Chiropractic and Wellness

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1477945418
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6059 Issued in MN
Legal business name
RISVOLD CHIROPRACTIC AND WELLNESS
Doing business as
Well Adjusted Minneapolis
Practice address
126 N 3Rd St
Suite 504
Minneapolis, MN 55401-1658
Phone
(612) 501-2430
NPI assigned
Feb 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Dr. Andrew Michael Risvold, D.C.NPI 1730571605
Title
Owner
Phone
(612) 501-2430

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 6059 MN Primary

Addresses

Primary practice location

126 N 3Rd St
Suite 504
Minneapolis, MN 55401-1658

Mailing address

5900 Painter Rd
Mound, MN 55364-8200
Phone (612) 501-2430

Other names 1

  • Well Adjusted Minneapolis Doing business as

National Provider Directory

National Provider Directory

Locations

126 3rd St N
Ste 504
Minneapolis, MN 55401
Phone (612) 501-2430

Practitioners & affiliated clinicians

Practitioners 1

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": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1477945418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 PAINTER RD",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553648200",
            "telephone_number": "612-501-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N 3RD ST",
            "address_2": "SUITE 504",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011658",
            "telephone_number": "612-501-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISVOLD CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "RISVOLD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-501-2430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Adjusted Minneapolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.