Individual provider Active NPI

Paul A Westby, DC

  • Chiropractor
  • Fridley, MN
National Provider Identifier
1508868548
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2001 Issued in MN
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

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
425227600MedicaidMN
1C01WEOtherMNBCBS
00085179OtherMNMN 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

OrganizationSpecialtyStatusNew patients
Wellspring Chiropractic Center Inc. Chiropractor CurrentSince Oct 20, 2013 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.

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.

Verify at the official NPI Registry.