Organization Active NPI

Dayspring Family Wellness Center

  • Chiropractor
  • Forest Lake, MN
National Provider Identifier
1932430907
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3711 Issued in MN
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
David C Schmidt, D.C.NPI 1194953091
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20100212000502 MN Part B Supplier - Clinic/Group Practice 1254475387 Receives reassigned benefits from 1 practitioner
Practice locations: Wyoming, MN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.