Active NPI
Due North Wellness Center PLLC
- Chiropractor
- Coon Rapids, MN
National Provider Identifier
1669840567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6060
- Legal business name
- DUE NORTH WELLNESS CENTER PLLC
- Practice address
- 1820 Coon Rapids Blvd NW
Coon Rapids, MN 55433-4755 - Phone
- (651) 323-8954
- NPI assigned
- Sep 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Forest, DC, CLS
- Title
- Owner
- Phone
- (651) 323-8954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6060 | MN | Primary |
Addresses
Primary practice location
1820 Coon Rapids Blvd NW
Coon Rapids, MN 55433-4755
Mailing address
1820 Coon Rapids Blvd NW
Coon Rapids, MN 55433-4755
Phone (651) 323-8954
National Provider Directory
National Provider DirectoryLocations
1820 Coon Rapids Blvd NW
Coon Rapids, MN 55433
Phone (651) 323-8954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441756800000",
"number": "1669840567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 COON RAPIDS BLVD NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554334755",
"telephone_number": "651-323-8954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 COON RAPIDS BLVD NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554334755",
"telephone_number": "651-323-8954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUE NORTH WELLNESS CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-09",
"last_updated": "2015-09-09",
"status": "A",
"authorized_official_last_name": "FOREST",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-323-8954",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC, CLS"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "6060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.