Wangerin Chiropractic & Alternative Medicine, P. a.

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

Organization subpart

No

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.

Title

Ceo, Cfo

Phone

(952) 412-1880

Specialties & licenses 1

Addresses

Locations

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": []
}

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• Chiropractor in Eden Prairie, MN
• Providers in Eden Prairie, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.