NPIMap

Organization Active NPI

Drake Chiropractic, P.a.

Doing business as Vital Injury Care and Wellness Clinic

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1891821799
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
524 Issued in MN
Legal business name
DRAKE CHIROPRACTIC, P.A.
Doing business as
Vital Injury Care and Wellness Clinic
Practice address
60 Plato Blvd E
Suite 110
Saint Paul, MN 55107-1827
Phone
(651) 287-0935
Fax
(651) 287-0936
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joshua Alan Rutzick, D.C.NPI 1427192616
Title
President
Phone
(651) 287-0935

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 524 MN Primary

Addresses

Primary practice location

60 Plato Blvd E
Suite 110
Saint Paul, MN 55107-1827

Mailing address

60 Plato Blvd E
Suite 110
Saint Paul, MN 55107-1827
Phone (651) 287-0935

Other names 1

  • Vital Injury Care and Wellness Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

60 Plato Blvd E
Ste 110
Saint Paul, MN 55107
Phone (651) 287-0935

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891821799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PLATO BLVD E",
            "address_2": "SUITE 110",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071827",
            "telephone_number": "651-287-0935",
            "fax_number": "651-287-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PLATO BLVD E",
            "address_2": "SUITE 110",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071827",
            "telephone_number": "651-287-0935",
            "fax_number": "651-287-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAKE CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUTZICK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-287-0935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Injury Care and Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.