NPIMap

Organization Active NPI

Wangerin Chiropractic & Alternative Medicine, P. a.

  • Chiropractor
  • Eden Prairie, MN
National Provider Identifier
1760418362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4841 Issued in MN
Legal business name
WANGERIN CHIROPRACTIC & ALTERNATIVE MEDICINE, P. A.
Practice address
11800 Singletree LN
Suite 310
Eden Prairie, MN 55344-5328
Phone
(952) 412-1880
Fax
(952) 223-4027
NPI assigned
Jun 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tony Prreston Wangerin, D.C.NPI 1649218371
Title
Ceo, Cfo
Phone
(952) 412-1880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4841 MN Primary

Addresses

Primary practice location

11800 Singletree LN
Suite 310
Eden Prairie, MN 55344-5328

Mailing address

11800 Singletree LN
Suite 310
Eden Prairie, MN 55344-5328
Phone (952) 412-1880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760418362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SINGLETREE LN",
            "address_2": "SUITE 310",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445328",
            "telephone_number": "952-412-1880",
            "fax_number": "952-223-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SINGLETREE LN",
            "address_2": "SUITE 310",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445328",
            "telephone_number": "952-412-1880",
            "fax_number": "952-223-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANGERIN CHIROPRACTIC & ALTERNATIVE MEDICINE, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANGERIN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "PRRESTON",
        "authorized_official_title_or_position": "CEO, CFO",
        "authorized_official_telephone_number": "952-412-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.