NPIMap

Organization Active NPI

Piff Holdings, P.C.

Doing business as Northern Life Wellness

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1912325325
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3374 Issued in MN
Legal business name
PIFF HOLDINGS, P.C.
Doing business as
Northern Life Wellness
Practice address
13955 W Preserve Blvd
Suite 200
Burnsville, MN 55337-7733
Phone
(952) 890-0804
Fax
(952) 808-1095
NPI assigned
Apr 2, 2014
Last updated
Apr 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Dr. Jeffrey Wayne Danielson, D.C.NPI 1821006453
Title
Owner/President
Phone
(952) 890-0804

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3374 MN Primary
Physical Therapist 225100000X 8532 MN

Addresses

Primary practice location

13955 W Preserve Blvd
Suite 200
Burnsville, MN 55337-7733

Mailing address

13955 W Preserve Blvd
Suite 200
Burnsville, MN 55337-7733
Phone (952) 890-0804

Other names 1

  • Northern Life Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140513001241 MN Part B Supplier - Clinic/Group Practice 0446473730 Receives reassigned benefits from 7 practitioners
Practice locations: Burnsville, MN

National Provider Directory

National Provider Directory

Locations

13955 W Preserve Blvd
Ste 200
Burnsville, MN 55337
Phone (952) 890-0804

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1912325325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13955 W PRESERVE BLVD",
            "address_2": "SUITE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377733",
            "telephone_number": "952-890-0804",
            "fax_number": "952-808-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13955 W PRESERVE BLVD",
            "address_2": "SUITE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377733",
            "telephone_number": "952-890-0804",
            "fax_number": "952-808-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIFF HOLDINGS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "DANIELSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "952-890-0804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3374",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Life Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 25, 2014; 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.