Organization Active NPI

New Creation Sports and Wellness, LLC

  • Sports Physician Chiropractor
  • Oakdale, MN
National Provider Identifier
1508128232
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
5517 Issued in MN
Legal business name
NEW CREATION SPORTS AND WELLNESS, LLC
Practice address
7500 Hudson Blvd N Ste 180
Oakdale, MN 55128-7064
Phone
(651) 356-4106
Fax
(800) 656-0598
NPI assigned
Jun 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Authorized official

Name
Dr. James Walter Chapman, D.C.
Title
Owner/Chiropractic Physician
Phone
(651) 356-4106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 5517 MN Primary

Addresses

Primary practice location

7500 Hudson Blvd N Ste 180
Oakdale, MN 55128-7064

Mailing address

7500 Hudson Blvd N Ste 180
Oakdale, MN 55128-7064
Phone (651) 356-4106

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1508128232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HUDSON BLVD N STE 180",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287064",
            "telephone_number": "651-356-4106",
            "fax_number": "800-656-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HUDSON BLVD N STE 180",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287064",
            "telephone_number": "651-356-4106",
            "fax_number": "800-656-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CREATION SPORTS AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "651-356-4106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "5517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.