NPIMap

Organization Active NPI

Empowered Health Chiropractic & Wellness, LLC

  • Chiropractor
  • Blaine, MN
National Provider Identifier
1780072082
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6031 Issued in MN
Legal business name
EMPOWERED HEALTH CHIROPRACTIC & WELLNESS, LLC
Practice address
12157 Dunkirk St NE
Suite 402
Blaine, MN 55449-7502
Phone
(763) 267-1731
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Christelle Vang, D.C.
Title
Owner
Phone
(763) 267-1731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6031 MN Primary

Addresses

Primary practice location

12157 Dunkirk St NE
Suite 402
Blaine, MN 55449-7502

Mailing address

4255 Pheasant Ridge Dr NE
Suite 402
Blaine, MN 55449-4537
Phone (763) 784-8888

National Provider Directory

National Provider Directory

Locations

4255 Pheasant Ridge Dr NE
#4
Blaine, MN 55449
Phone (763) 784-8888

4255 Pheasant Ridge Dr NE
Ste 402
Blaine, MN 55449
Phone (763) 784-8888

708 W 40th St
Minneapolis, MN 55409
Phone (612) 205-4028

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1780072082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 PHEASANT RIDGE DR NE",
            "address_2": "SUITE 402",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494537",
            "telephone_number": "763-784-8888",
            "fax_number": "763-784-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12157 DUNKIRK ST NE",
            "address_2": "SUITE 402",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497502",
            "telephone_number": "763-267-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED HEALTH CHIROPRACTIC & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "CHRISTELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-267-1731",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.