Agada Chiropractic and Integrative Health Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4542 Issued in MN

Legal business name

AGADA CHIROPRACTIC AND INTEGRATIVE HEALTH CENTER, LLC

Practice address

3311 County Road 101 S
Suite 2
Wayzata, MN 55391-2866

Phone

(952) 405-6263

Fax

(952) 406-8060

NPI assigned

Nov 15, 2010

Last updated

Nov 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jean Michelle Ciola, DCNPI 1235219767

Title

Chiropractor, Owner

Phone

(952) 405-6263

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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.

• Jean Ciola, DC

  • Chiropractor
  • Minnetonka, MN
  • NPI 1235219767
  Medicare reassignment Authorized official
• Nannette L Washko, P.T.

  • Physical Therapist
  • Wayzata, MN
  • NPI 1578516589
  NPD (past)

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1598066086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 COUNTY ROAD 101 S",
            "address_2": "SUITE 2",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912866",
            "telephone_number": "952-405-6263",
            "fax_number": "952-406-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 COUNTY ROAD 101 S",
            "address_2": "SUITE 2",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912866",
            "telephone_number": "952-405-6263",
            "fax_number": "952-406-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGADA CHIROPRACTIC AND INTEGRATIVE HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "CIOLA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CHIROPRACTOR, OWNER",
        "authorized_official_telephone_number": "952-405-6263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.