Organization Active NPI

Fritz Chiropractic, P.a.

  • Chiropractor
  • Woodbury, MN
National Provider Identifier
1811293657
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5453 Issued in MN
Legal business name
FRITZ CHIROPRACTIC, P.A.
Doing business as
Wedgewood Chiropractic
Practice address
1625 Radio Dr
Suite 160
Woodbury, MN 55125-9407
Phone
(651) 731-5124
Fax
(651) 731-0509
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Dr. Justin A Fritz, D.C.
Title
Owner
Phone
(651) 731-5124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5453 MN Primary

Addresses

Primary practice location

1625 Radio Dr
Suite 160
Woodbury, MN 55125-9407

Mailing address

1625 Radio Dr
Suite 160
Woodbury, MN 55125-9407
Phone (651) 731-5124

Other names 1

  • Wedgewood Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

261 Ruth St N
Ste 4
Saint Paul, MN 55119
Phone (651) 288-9614

1625 Radio Dr
Ste 160
Woodbury, MN 55125
Phone (651) 731-5124

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1811293657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 RADIO DR",
            "address_2": "SUITE 160",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259407",
            "telephone_number": "651-731-5124",
            "fax_number": "651-731-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 RADIO DR",
            "address_2": "SUITE 160",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259407",
            "telephone_number": "651-731-5124",
            "fax_number": "651-731-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRITZ CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-731-5124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wedgewood Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.