NPIMap

Organization Active NPI

Health Wellness Center Management LLC

  • Chiropractor
  • Edina, MN
National Provider Identifier
1508191255
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3031 Issued in MN
Legal business name
HEALTH WELLNESS CENTER MANAGEMENT LLC
Practice address
6500 Barrie Rd
Suite 100
Edina, MN 55435-2348
Phone
(952) 562-2420
Fax
(952) 562-2421
NPI assigned
Oct 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
David Leske, DCNPI 1467466102
Title
Owner
Phone
(952) 562-2420

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3891 MN
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3031 MN Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 6346 MN

Addresses

Primary practice location

6500 Barrie Rd
Suite 100
Edina, MN 55435-2348

Mailing address

6500 Barrie Rd
Suite 100
Edina, MN 55435-2348
Phone (952) 562-2420

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1508191255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 BARRIE RD",
            "address_2": "SUITE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352348",
            "telephone_number": "952-562-2420",
            "fax_number": "952-562-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BARRIE RD",
            "address_2": "SUITE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352348",
            "telephone_number": "952-562-2420",
            "fax_number": "952-562-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH WELLNESS CENTER MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "LESKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-562-2420",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3891",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3031",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.