Roots Wellcare, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3123 Issued in MN

Legal business name

ROOTS WELLCARE, P.A.

Practice address

570 Asbury Street
Suite 102
St Paul, MN 55104-1852

Phone

(651) 310-0000

Fax

(651) 389-9491

NPI assigned

Mar 24, 2008

Last updated

Dec 10, 2008By 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

Dr. Carla Jean Breunig, D.C.

Title

President/Owner

Phone

(651) 644-0455

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1770754392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 ASBURY STREET",
            "address_2": "SUITE 102",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551041852",
            "telephone_number": "651-310-0000",
            "fax_number": "651-389-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 ASBURY STREET",
            "address_2": "SUITE 102",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551041852",
            "telephone_number": "651-310-0000",
            "fax_number": "651-389-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS WELLCARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "BREUNIG",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "651-644-0455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465860400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE NO.",
            "identifier": "3123",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4C181BR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Simone Roosa
• Root & Rise Psychotherapy PLLC
• Root and Branch LLC
• Rooted Health and Research, Inc.
• Roots Recovery
• Gretchen Rosa, LMFT
• Barbara Rosamilia, D.C.
• Lauren Roschen, PNP-PC
• Rose Chiropractic Care, P. a.
• Catherine Horwath Rose, RN ANP MA

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.