Organization Active NPI

Hands on Heart Holistic Healthcare, P.a.

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1689965899
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HANDS ON HEART HOLISTIC HEALTHCARE, P.A.
Practice address
821 Raymond Ave Ste 110
110
Saint Paul, MN 55114-1538
Phone
(665) 169-0554
NPI assigned
Apr 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Dr. Laura Marie Mudrak, D.C.NPI 1366594673
Title
Owner
Phone
(651) 690-5543

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

821 Raymond Ave Ste 110
110
Saint Paul, MN 55114-1538

Mailing address

821 Raymond Ave Ste 110
110
Saint Paul, MN 55114-1538
Phone (665) 169-0554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110502000149 MN Part B Supplier - Clinic/Group Practice 1557546827 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

821 Raymond Ave
Ste 110
Saint Paul, MN 55114
Phone (651) 690-5543

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1689965899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 110",
            "address_2": "110",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141538",
            "telephone_number": "665-169-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 110",
            "address_2": "110",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141538",
            "telephone_number": "665-169-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS ON HEART HOLISTIC HEALTHCARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "MUDRAK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-690-5543",
        "authorized_official_name_prefix": "Dr.",
        "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 Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.