Organization Active NPI

Ellen Weis Chiropractic LLC

  • Chiropractor
  • Apple Valley, MN
National Provider Identifier
1609365865
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6498 Issued in MN
Legal business name
ELLEN WEIS CHIROPRACTIC LLC
Practice address
15368 Frost Path
Apple Valley, MN 55124-6067
Phone
(612) 930-3646
NPI assigned
May 3, 2018
Last updated
Apr 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Dr. Ellen Weis, DC
Title
Owner/President
Phone
(952) 239-5025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6498 MN Primary

Addresses

Primary practice location

15368 Frost Path
Apple Valley, MN 55124-6067

Mailing address

15368 Frost Path
Apple Valley, MN 55124-6067
Phone (612) 930-3646

Other practice location 1

2860 Middle St
Little Canada, MN 55117-1411
Phone (651) 484-8783

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1609365865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15368 FROST PATH",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246067",
            "telephone_number": "612-930-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15368 FROST PATH",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246067",
            "telephone_number": "612-930-3646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2860 Middle St",
            "address_purpose": "LOCATION",
            "city": "Little Canada",
            "state": "MN",
            "postal_code": "551171411",
            "country_code": "US",
            "telephone_number": "651-484-8783",
            "fax_number": "651-484-8782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELLEN WEIS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "WEIS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "952-239-5025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.