Organization Active NPI

Family Wellness Chiropractic, PC

  • Chiropractor
  • Plymouth, MN
National Provider Identifier
1962549089
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4560 Issued in MN
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

Updated by the provider on Oct 15, 2007

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
351G1FAOtherMNBCBS

Other names 1

  • Family Wellness Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.