Organization Active NPI

Alliance Chiropractic & Wellness PA

  • Chiropractor
  • Grand Rapids, MN
National Provider Identifier
1639036205
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALLIANCE CHIROPRACTIC & WELLNESS PA
Practice address
504 NW 1St Ave Ste 220
Grand Rapids, MN 55744-2668
Phone
(218) 326-3603
Fax
(218) 326-3606
NPI assigned
Jan 6, 2026
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Steven FideldyNPI 1972524981
Title
Owner
Phone
(218) 326-3603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

504 NW 1St Ave Ste 220
Grand Rapids, MN 55744-2668

Mailing address

504 NW 1St Ave Ste 220
Grand Rapids, MN 55744-2668
Phone (218) 326-3603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260303000518 MN Part B Supplier - Clinic/Group Practice 5496237257 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MN

National Provider Directory

National Provider Directory

Locations

504 NW 1st Ave
Ste 220
Grand Rapids, MN 55744
Phone (218) 326-3603

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": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1639036205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 NW 1ST AVE STE 220",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442668",
            "telephone_number": "218-326-3603",
            "fax_number": "218-326-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 NW 1ST AVE STE 220",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442668",
            "telephone_number": "218-326-3603",
            "fax_number": "218-326-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE CHIROPRACTIC & WELLNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "FIDELDY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-326-3603"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.