Organization Active NPI

Chirome Health and Wellness LLC

  • Chiropractor
  • Little Canada, MN
National Provider Identifier
1679026504
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROME HEALTH AND WELLNESS LLC
Practice address
2885 Country Dr Ste 120
Little Canada, MN 55117-1091
Phone
(651) 440-9905
Fax
(651) 528-6804
NPI assigned
Jul 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Authorized official

Name
Jim Lee, D.C.
Title
Chiropractor
Phone
(651) 233-6626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2885 Country Dr Ste 120
Little Canada, MN 55117-1091

Mailing address

2885 Country Dr Ste 120
Little Canada, MN 55117-1091
Phone (651) 440-9905

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2276203Chirome Health and Wellness LLC2885 Country Drive, Suite 120, Little Canada, MN 55117Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory

Locations

2885 Country Dr
Ste 120
Little Canada, MN 55117
Phone (651) 440-9905

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1679026504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 COUNTRY DR STE 120",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171091",
            "telephone_number": "651-440-9905",
            "fax_number": "651-528-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 COUNTRY DR STE 120",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171091",
            "telephone_number": "651-440-9905",
            "fax_number": "651-528-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROME HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "651-233-6626",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Canada, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.