Active NPI
Dayspring Family Wellness Center
- Chiropractor
- Forest Lake, MN
National Provider Identifier
1932430907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3711
- Legal business name
- DAYSPRING FAMILY WELLNESS CENTER
- Practice address
- 1401 14TH Ave SE
Forest Lake, MN 55025-2081 - Phone
- (651) 208-9972
- NPI assigned
- Jan 14, 2010
- Last updated
- Jan 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David C Schmidt, D.C.
- Title
- President
- Phone
- (651) 208-9972
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3711 | MN | Primary |
Addresses
Primary practice location
1401 14TH Ave SE
Forest Lake, MN 55025-2081
Mailing address
PO Box 842
Forest Lake, MN 55025-0842
Phone (651) 208-9972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
26357 Forest Blvd
Ste 8
Wyoming, MN 55092
Phone (651) 208-9972
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Chisago City, MN
- NPI 1194953091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263427200000",
"number": "1932430907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 842",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550250842",
"telephone_number": "651-208-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 14TH AVE SE",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550252081",
"telephone_number": "651-208-9972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYSPRING FAMILY WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-14",
"last_updated": "2010-01-14",
"status": "A",
"authorized_official_last_name": "SCHMIDT",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-208-9972",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.