Active NPI
Family Wellness Chiropractic, PC
- Chiropractor
- Plymouth, MN
National Provider Identifier
1962549089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4560
- Legal business name
- FAMILY WELLNESS CHIROPRACTIC, PC
- Practice address
- 9600 28TH Ave N
Plymouth, MN 55441-3210 - Phone
- (763) 546-4414
- NPI assigned
- Jan 30, 2007
- 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
- Dr. Lorie E Palokangas, D.C.
- Title
- Chiropractor
- Phone
- (612) 735-9971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4560 | MN | Primary |
Addresses
Primary practice location
9600 28TH Ave N
Plymouth, MN 55441-3210
Mailing address
9600 28TH Ave N
Plymouth, MN 55441-3210
Phone (763) 546-4414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351G1FA | Other | MN | BCBS |
Other names 1
- Family Wellness Chiropractic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192406400000",
"number": "1962549089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 28TH AVE N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554413210",
"telephone_number": "763-546-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 28TH AVE N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554413210",
"telephone_number": "763-546-4414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY WELLNESS CHIROPRACTIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2007-10-15",
"status": "A",
"authorized_official_last_name": "PALOKANGAS",
"authorized_official_first_name": "LORIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "612-735-9971",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "4560",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "351G1FA",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Wellness Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.