Organization Active NPI

Healing River Chiropractic, LLC

  • Chiropractor
  • Stillwater, MN
National Provider Identifier
1770048027
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEALING RIVER CHIROPRACTIC, LLC
Practice address
1903 Greeley St S Ste 100
Stillwater, MN 55082-6066
Phone
(651) 439-3737
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Tiffani Rose
Title
Office Manager
Phone
(651) 439-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1903 Greeley St S Ste 100
Stillwater, MN 55082-6066

Mailing address

1903 Greeley St S
Suite 100
Stillwater, MN 55082-5298
Phone (651) 439-3737

National Provider Directory

National Provider Directory

Locations

1903 Greeley St S
Ste 100
Stillwater, MN 55082
Phone (651) 439-3737

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1770048027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 GREELEY ST S",
            "address_2": "SUITE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825298",
            "telephone_number": "651-439-3737",
            "fax_number": "651-438-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 GREELEY ST S STE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826066",
            "telephone_number": "651-439-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING RIVER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2021-12-14",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "TIFFANI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-439-3737"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.