Organization Active NPI

Empower Chiropractic and Wellness Center P.L.L.C.

  • Chiropractor
  • Excelsior, MN
National Provider Identifier
1689031791
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6153 Issued in MN
Legal business name
EMPOWER CHIROPRACTIC AND WELLNESS CENTER P.L.L.C.
Practice address
373 George St
Excelsior, MN 55331-3061
Phone
(952) 474-3359
NPI assigned
Jan 20, 2016
Last updated
Jan 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Dr. Brittany MulderNPI 1497112676
Title
Chief Manager
Phone
(507) 220-0111

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6179 MN
Chiropractor 111N00000X 6153 MN Primary

Addresses

Primary practice location

373 George St
Excelsior, MN 55331-3061

Mailing address

373 George St
Excelsior, MN 55331-3061
Phone (952) 474-3359

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160321000406 MN Part B Supplier - Clinic/Group Practice 3577860469 Receives reassigned benefits from 2 practitioners
Practice locations: Excelsior, MN

National Provider Directory

National Provider Directory

Locations

373 George St
Excelsior, MN 55331
Phone (952) 474-3359

Practitioners & affiliated clinicians

Practitioners 3

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": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1689031791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 GEORGE ST",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553313061",
            "telephone_number": "952-474-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 GEORGE ST",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553313061",
            "telephone_number": "952-474-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER CHIROPRACTIC AND WELLNESS CENTER P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "MULDER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "507-220-0111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6179",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.