Chiropractic Wellness PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3886 Issued in MN

Legal business name

CHIROPRACTIC WELLNESS PA

Practice address

11254 86TH Ave N
Maple Grove, MN 55369-4510

Phone

(763) 494-0090

NPI assigned

Dec 28, 2006

Last updated

Jan 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn OharaNPI 1407967292

Title

Owner

Phone

(763) 494-0090

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Carolyn Ohara

  • Chiropractor
  • Maple Grove, MN
  • NPI 1407967292
  Authorized official Same address or phone
• Judy M Jensen, D.C.

  • Chiropractor
  • Maple Grove, MN
  • NPI 1578693529
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1942366679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11254 86TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11254 86TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694510",
            "telephone_number": "763-494-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "OHARA",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-494-0090"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "244T1NO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aloysius Ronald Cheney
• Emily Chenoweth, OTR/L
• Chez Vous Home Care LLC
• Children's Clinic Network (Partners in Pediatrics)
• Munyaradzi Chimukangara, MD
• Choice Hands Pca
• Choices by Design LLC
• David Chollar, LICSW
• Alexander Chong, MD, MPH
• Amy Chookiatsirichai

• Chiropractor in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.