Advanced Chiropractic & Wellness, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4749 Issued in MN

Legal business name

ADVANCED CHIROPRACTIC & WELLNESS, P.A.

Practice address

1752 Lexington Ave N
Roseville, MN 55113-6516

Phone

(651) 779-5998

Fax

(651) 779-7165

NPI assigned

Dec 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Brian Lund, D.C.NPI 1316901853

Title

Owner Doctor of Chiropractic

Phone

(651) 779-5998

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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.

• Eric Brian Lund, D.C.

  • Neurology Chiropractor
  • Maplewood, MN
  • NPI 1316901853
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700941069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 LEXINGTON AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136516",
            "telephone_number": "651-779-5998",
            "fax_number": "651-779-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 LEXINGTON AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136516",
            "telephone_number": "651-779-5998",
            "fax_number": "651-779-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC & WELLNESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "651-779-5998",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yuba Raj Adhikari
• Sunnie F Adsitt, DDS
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• Barbara Agbo, NP
• Carrie Ahlness, CNP
• Abdirahiim Ahmed, LICSW

• Chiropractor in Roseville, MN
• Providers in Roseville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.