Healthy for Life Family Wellness Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3251 Issued in MN

Legal business name

HEALTHY FOR LIFE FAMILY WELLNESS CHIROPRACTIC, P.A.

Practice address

9336 Ensign Ave S
Bloomington, MN 55438-1455

Phone

(952) 829-0100

NPI assigned

Nov 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Joesph Unterreiner, D.C.

Title

Doctor of Chiropractic

Phone

(952) 829-0100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1770850489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9641 BRIGHTON LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553473131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9336 ENSIGN AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381455",
            "telephone_number": "952-829-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY FOR LIFE FAMILY WELLNESS CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "UNTERREINER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOESPH",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "952-829-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.