Active NPI
Wellspring Chiropractic Center Inc.
- Chiropractor
- Fridley, MN
National Provider Identifier
1841612736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2001
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350000743 | Other | MN | MEDICARE IDENTIFICATION NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Fridley, MN
- NPI 1508868548
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.