IHS of Woodbury PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5965 Issued in MN

Legal business name

IHS OF WOODBURY PA

Practice address

1754 Old Hudson Rd
Saint Paul, MN 55106-6118

Phone

(612) 708-1067

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Kary, DCNPI 1780707091

Title

Chiropractor

Phone

(651) 731-1880

Specialties & licenses 1

Addresses

Other names 1

• HealthSource Doing business as

Tax ID family

Healthsource2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• IHS of Woodbury, P.a.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1205145273
  NPD tax ID

Practitioners 2

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

• Joshua A Kary, DC

  • Chiropractor
  • Lake Elmo, MN
  • NPI 1780707091
  NPD Authorized official
• Mark F Lavallie, D.C., D.A.B.C.O.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1477581742
  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1629477013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 OLD HUDSON RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551066118",
            "telephone_number": "612-708-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 OLD HUDSON RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551066118",
            "telephone_number": "612-708-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHS OF WOODBURY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "KARY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "651-731-1880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynda Iglesia
• Ihope Inc
• Jeannie J Ihrig, CRNA
• IHS East Saint Paul
• IHS Grand Avenue PLLP
• IHS of Woodbury, P.a.
• Kristina M Ijomah, RN
• Faiza Sayid Ikar
• Jodi-Rae M Ikens, PHARM D
• Alison Enuma Ikeogu

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.