Individual provider Active NPI

Justin D.W. Nye, D.C.

  • Chiropractor
  • Woodbury, MN
National Provider Identifier
1962689901
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5068 Issued in MN
Practice address
8401 Seasons Pkwy Ste 200
Woodbury, MN 55125-3476
Phone
(651) 731-0505
Fax
(651) 731-0500
NPI assigned
Jan 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5068 MN Primary

Addresses

Primary practice location

8401 Seasons Pkwy Ste 200
Woodbury, MN 55125-3476

Mailing address

8401 Seasons Pkwy Ste 200
Woodbury, MN 55125-3476
Phone (651) 731-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103001309 MN Practitioner - Chiropractic 3072707074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodbury Spine and Injury CenterGroup PAC ID 6709070717, 2 clinicians

Practice addresses (Care Compare)

8147 Globe Dr
Woodbury, MN 55125-3379
Phone (651) 731-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5068MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woodbury Spine and Injury Center Chiropractor CurrentSince Sep 1, 2010 Accepting new patients

Locations

8147 Globe Dr
Ste 100
Woodbury, MN 55125
Phone (651) 731-0500

683 Bielenberg Dr
Ste 103
Woodbury, MN 55125
Phone (651) 731-0505

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1962689901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 SEASONS PKWY STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253476",
            "telephone_number": "651-731-0505",
            "fax_number": "651-731-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 SEASONS PKWY STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253476",
            "telephone_number": "651-731-0505",
            "fax_number": "651-731-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYE",
        "first_name": "JUSTIN",
        "middle_name": "D.W.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.