Active NPI
Carolyn Urbanski, D.C.
- Chiropractor
- Waite Park, MN
National Provider Identifier
1912378068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6071
- Practice address
- 750 1St St S
Ste 103
Waite Park, MN 56387-1315 - Phone
- (320) 240-6561
- NPI assigned
- Oct 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6071 | MN | Primary |
Addresses
Primary practice location
750 1St St S
Ste 103
Waite Park, MN 56387-1315
Mailing address
1521 7TH St S Apt 302
Waite Park, MN 56387-1733
Phone (651) 468-9651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6071 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braaten Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Waite Park, MN
- NPI 1609053396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1912378068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 7TH ST S APT 302",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871733",
"telephone_number": "651-468-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 1ST ST S",
"address_2": "STE 103",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871315",
"telephone_number": "320-240-6561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBANSKI",
"first_name": "CAROLYN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-15",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.