Organization Active NPI

Vadnais Heights Chiropractic

  • Chiropractor
  • Vadnais Heights, MN
National Provider Identifier
1568527877
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4830 Issued in MN
Legal business name
VADNAIS HEIGHTS CHIROPRACTIC
Practice address
1146 E County Road E
Vadnais Heights, MN 55110
Phone
(651) 486-9333
NPI assigned
Dec 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Matthew Amundgaard, D.C.NPI 1790863371
Title
Owner
Phone
(651) 486-9333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4830 MN Primary

Addresses

Primary practice location

1146 E County Road E
Vadnais Heights, MN 55110

Mailing address

7201 York Ave S Apt 802
Edina, MN 55435-4443
Phone (612) 702-7367

National Provider Directory

National Provider Directory

Locations

1146 County Road E E
Vadnais Heights, MN 55110
Phone (651) 338-3177

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568527877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 YORK AVE S APT 802",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354443",
            "telephone_number": "612-702-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 E COUNTY ROAD E",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "55110",
            "telephone_number": "651-486-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VADNAIS HEIGHTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMUNDGAARD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-486-9333",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vadnais Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.