Organization Active NPI

Healthy Living Chiropractic Clinic PC

Doing business as Healthy Living Chiropractic

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1487888111
Registry record updated May 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4820 Issued in MN
Legal business name
HEALTHY LIVING CHIROPRACTIC CLINIC PC
Doing business as
Healthy Living Chiropractic
Practice address
3940 Minnehaha Ave
Minneapolis, MN 55406-3232
Phone
(612) 259-7255
Fax
(612) 259-7255
NPI assigned
May 9, 2009
Last updated
May 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2009

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

Authorized official

Name
Mr. Arthur Guzhagin, DC
Title
Owner
Phone
(612) 259-7255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4820 MN Primary

Addresses

Primary practice location

3940 Minnehaha Ave
Minneapolis, MN 55406-3232

Mailing address

3940 Minnehaha Ave
Minneapolis, MN 55406-3232
Phone (612) 259-7255

Other names 1

  • Healthy Living Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

3940 Minnehaha Ave
Minneapolis, MN 55406
Phone (612) 724-7100

NPI Registry JSON

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

{
    "created_epoch": "1241827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241827200000",
    "number": "1487888111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063232",
            "telephone_number": "612-259-7255",
            "fax_number": "612-259-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063232",
            "telephone_number": "612-259-7255",
            "fax_number": "612-259-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-09",
        "last_updated": "2009-05-09",
        "status": "A",
        "authorized_official_last_name": "GUZHAGIN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-259-7255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Living Chiropractic",
            "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 May 9, 2009; 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.