Organization Active NPI

Wellspring Chiropractic Center Inc.

  • Chiropractor
  • Fridley, MN
National Provider Identifier
1841612736
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2001 Issued in MN
Legal business name
WELLSPRING CHIROPRACTIC CENTER INC.
Practice address
6425 Highway 65 NE
Fridley, MN 55432-5128
Phone
(763) 571-1345
Fax
(763) 571-2291
NPI assigned
Jan 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Dr. Paul A Westby, D.C.NPI 1508868548
Title
Owner
Phone
(763) 571-1345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2001 MN Primary

Addresses

Primary practice location

6425 Highway 65 NE
Fridley, MN 55432-5128

Mailing address

6425 Highway 65 NE
Fridley, MN 55432-5128
Phone (763) 571-1345

Other identifiers 1

IdentifierTypeStateIssuer
350000743OtherMNMEDICARE IDENTIFICATION NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1841612736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 HIGHWAY 65 NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325128",
            "telephone_number": "763-571-1345",
            "fax_number": "763-571-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 HIGHWAY 65 NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325128",
            "telephone_number": "763-571-1345",
            "fax_number": "763-571-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING CHIROPRACTIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "WESTBY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-571-1345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "350000743",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.