Empowered Health Chiropractic & Wellness, LLC

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

Last updated

Jul 30, 2015By 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

Christelle Vang, D.C.NPI 1093103764

Title

Owner

Phone

(763) 267-1731

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christelle Vang, D.C.

  • Chiropractor
  • Blaine, MN
  • NPI 1093103764
  Authorized official Same address or phone

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": []
}

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• Chiropractor in Blaine, MN
• Providers in Blaine, MN by specialty
• Chiropractor in Minnesota

• 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.