Organization Active NPI

Common Sense Health & Wellness

  • Chiropractor
  • Wayzata, MN
National Provider Identifier
1750526430
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4267 Issued in MN
Legal business name
COMMON SENSE HEALTH & WELLNESS
Practice address
700 Twelve Oaks Center Dr
Suite 101
Wayzata, MN 55391-4401
Phone
(952) 893-8900
Fax
(952) 893-7399
NPI assigned
Dec 9, 2008
Last updated
Dec 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Dr. Bradley Dale Wildberg, D.C.
Title
Owner, President
Phone
(952) 893-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4267 MN Primary

Addresses

Primary practice location

700 Twelve Oaks Center Dr
Suite 101
Wayzata, MN 55391-4401

Mailing address

700 Twelve Oaks Center Dr
Suite 101
Wayzata, MN 55391-4401
Phone (952) 893-8900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1750526430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 TWELVE OAKS CENTER DR",
            "address_2": "SUITE 101",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914401",
            "telephone_number": "952-893-8900",
            "fax_number": "952-893-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 TWELVE OAKS CENTER DR",
            "address_2": "SUITE 101",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914401",
            "telephone_number": "952-893-8900",
            "fax_number": "952-893-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON SENSE HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "WILDBERG",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "952-893-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.