Waconia Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5476 Issued in MN

Legal business name

WACONIA FAMILY CHIROPRACTIC

Practice address

9384 Oak Ave Ste a
Waconia, MN 55387-9422

Phone

(952) 442-3220

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Emily Bottoms, DCNPI 1073802179

Title

Owner/Operator/Chiropractor

Phone

(612) 868-9375

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Rayner Bottoms, D.C.

  • Chiropractor
  • Waconia, MN
  • NPI 1073802179
  Medicare reassignment Care Compare group NPD Authorized official
• Lindsey Ann Engmark, D.C.

  • Chiropractor
  • Waconia, MN
  • NPI 1700226727
  Medicare reassignment Care Compare group NPD
• Kristin Traiser, DC

  • Chiropractor
  • Waconia, MN
  • NPI 1326751611
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1598136830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 FISCHER DR",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553877500",
            "telephone_number": "612-868-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9384 OAK AVE STE A",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553879422",
            "telephone_number": "952-442-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACONIA FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "BOTTOMS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER/OPERATOR/CHIROPRACTOR",
        "authorized_official_telephone_number": "612-868-9375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Vansickle, MA, LPCC
• Sommer Nicole Vaughan, PA-C
• Alison Ann Vecellio, MD
• Callie Vold
• Waconia Counseling Services PLLC
• Waconia Ops. LLC
• Waconia Pharmacy
• Waconia School District
• Walgreen Co
• Christy Anne Wallen, CPD, CD, CPDT,

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.