Organization Active NPI

Care Chiropractic Body Wellness Center, LLC

  • Chiropractor
  • Eagan, MN
National Provider Identifier
1891904793
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CARE CHIROPRACTIC BODY WELLNESS CENTER, LLC
Practice address
3390 Coachman Rd
Eagan, MN 55121
Phone
(651) 452-4220
Fax
(651) 452-3829
NPI assigned
May 21, 2007
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Barbara Ann Greer
Title
Clinic Manager
Phone
(651) 452-4220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3390 Coachman Rd
Eagan, MN 55121

Mailing address

3390 Coachman Rd
Eagan, MN 55121-1800
Phone (651) 452-4220

Other identifiers 1

IdentifierTypeStateIssuer
1891904793OtherNPI

Other names 1

  • Care Chiropractic Health and Resource Center Former legal business name

National Provider Directory

National Provider Directory

Locations

3390 Coachman Rd
Eagan, MN 55121
Phone (651) 452-4220

3390 Coachman Rd
Ste 214
Eagan, MN 55121
Phone (651) 452-4220

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1891904793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 COACHMAN RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211800",
            "telephone_number": "651-452-4220",
            "fax_number": "651-452-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 COACHMAN RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "651-452-4220",
            "fax_number": "651-452-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CHIROPRACTIC BODY WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "651-452-4220"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891904793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Chiropractic Health and Resource Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.