Soul Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUL CHIROPRACTIC

Doing business as

Soul Chiropractic

Practice address

4760 Banning Ave Ste 217
White Bear Lake, MN 55110-3218

Phone

(612) 568-7685

NPI assigned

Jan 11, 2023

Last updated

Jan 11, 2023By 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

Shannon McCarty, DCNPI 1992292437

Title

Doctor of Chiropractic

Phone

(612) 568-7685

Specialties & licenses 1

Addresses

Other names 1

• Soul Chiropractic Doing business as

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.

• Shannon McCarty, DC

  • Chiropractor
  • White Bear Lake, MN
  • NPI 1992292437
  NPD Authorized official

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1851005060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 BANNING AVE STE 217",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103218",
            "telephone_number": "612-568-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 BANNING AVE STE 217",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103218",
            "telephone_number": "612-568-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "612-568-7685",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soul Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Solomon, LPC
• Abigail Solorzano
• Sonder Grove Therapy, LLC
• Virginia Sorenson, LP LMFT
• Gissel Sosa
• Linnea Kay Soular, DC
• Brady Sowers
• Patrick G Spencer, FNP-C
• Paul J Spencer, D.O.
• Russell Spingarn, M.D.

• Chiropractor in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.