Organization Active NPI

Due North Wellness Center PLLC

  • Chiropractor
  • Coon Rapids, MN
National Provider Identifier
1669840567
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6060 Issued in MN
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

Updated by the provider on Sep 9, 2015

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.