Active NPI
Paul A Westby, DC
- Chiropractor
- Fridley, MN
National Provider Identifier
1508868548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2001
- Practice address
- 6425 Highway 65 NE
Fridley, MN 55432-5128 - Phone
- (763) 571-1345
- Fax
- (763) 571-2291
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2001 | MN | Primary |
| Acupuncturist | 171100000X | 418 | MN |
Addresses
Primary practice location
6425 Highway 65 NE
Fridley, MN 55432-5128
Mailing address
6425 Highway 65 NE
Fridley, MN 55432-5128
Phone (763) 571-1345
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 425227600 | Medicaid | MN | |
| 1C01WE | Other | MN | BCBS |
| 00085179 | Other | MN | MN HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspring Chiropractic Center Inc. | Chiropractor | Current | Accepting new patients |
Locations
6425 Highway 65 NE
Minneapolis, MN 55432
Phone (763) 571-1345
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Fridley, MN
- NPI 1841612736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1508868548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6425 HIGHWAY 65 NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554325128",
"telephone_number": "763-571-1345",
"fax_number": "763-571-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6425 HIGHWAY 65 NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554325128",
"telephone_number": "763-571-1345",
"fax_number": "763-571-2291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTBY",
"first_name": "PAUL",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2001",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "418",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "425227600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1C01WE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN HEALTH",
"identifier": "00085179",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.