Organization Active NPI

Urban Wellness

  • Cardiac Rehabilitation Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1942667829
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
License
4134 Issued in MN
Legal business name
URBAN WELLNESS
Doing business as
Urban Wellness
Practice address
2309 W 50TH St
Minneapolis, MN 55410-2203
Phone
(612) 590-0058
NPI assigned
Jan 22, 2016
Last updated
Jan 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Dr. Aaron Kirking, D.C.
Title
President
Phone
(612) 590-0058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Clinic/Center 261QR0404X 4134 MN Primary

Addresses

Primary practice location

2309 W 50TH St
Minneapolis, MN 55410-2203

Mailing address

12100 Singletree Lane #129
Eden Prairie, MN 55344
Phone (612) 590-0058

Other names 1

  • Urban Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spinal Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2309 W 50th St
Minneapolis, MN 55410
Phone (612) 590-0058

NPI Registry JSON

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1942667829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 SINGLETREE LANE #129",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55344",
            "telephone_number": "612-590-0058",
            "fax_number": "952-746-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W 50TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102203",
            "telephone_number": "612-590-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "KIRKING",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-590-0058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": "MN",
            "license": "4134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urban Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.