Organization Active NPI

Nova Chiropractic and Wellness

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1871212951
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NOVA CHIROPRACTIC AND WELLNESS
Practice address
2424 E 117TH St
Burnsville, MN 55337-1269
Phone
(952) 894-5108
NPI assigned
Aug 23, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Andrew Schwert, DCNPI 1396037743
Title
Owner
Phone
(612) 916-4833

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

2424 E 117TH St
Burnsville, MN 55337-1269

Mailing address

595 Lilium TRL
Medina, MN 55340-2800
Phone (612) 916-4833

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Chirotouch Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230407001746 MN Part B Supplier - Clinic/Group Practice 6507231362 Receives reassigned benefits from 2 practitioners
Practice locations: Burnsville, MN

National Provider Directory

National Provider Directory

Locations

2424 E 117th St
Burnsville, MN 55337
Phone (952) 210-4921

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1871212951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 LILIUM TRL",
            "city": "MEDINA",
            "state": "MN",
            "postal_code": "553402800",
            "telephone_number": "612-916-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371269",
            "telephone_number": "952-894-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "SCHWERT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-916-4833",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chirotouch",
            "affiliation": "N",
            "endpointDescription": "EHR system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2424 E 117th St",
            "city": "Burnsville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553371269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.