Precision Chiropractic & Wellness, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4169 Issued in MN

Legal business name

PRECISION CHIROPRACTIC & WELLNESS, PLLC

Practice address

3515 Plymouth Blvd Ste 206
Plymouth, MN 55447-1382

Phone

(763) 475-8281

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

James Ryan CiavarellaNPI 1437372802

Title

Owner

Phone

(763) 475-8281

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Ryan Ciavarella, D.C.

  • Chiropractor
  • Plymouth, MN
  • NPI 1437372802
  Medicare reassignment NPD Authorized official
• Matthew Feriancek, D.C.

  • Chiropractor
  • Waconia, MN
  • NPI 1215308465
  NPD (past)
• Jennifer Nicole Mangan, DC

  • Chiropractor
  • Burnsville, MN
  • NPI 1003823600
  NPD (past)
• Jeremy Michael Heidt, D.C.

  • Chiropractor
  • West Fargo, ND
  • NPI 1750686036
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1962693747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 PLYMOUTH BLVD STE 206",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 PLYMOUTH BLVD STE 206",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471382",
            "telephone_number": "763-475-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION CHIROPRACTIC & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "CIAVARELLA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-475-8281"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2513935-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tim Richard Portinga, PSYD LP
• Andrea Potashnick, MS, RDN, LDN
• Michael James Potter, M.D.
• Laura A Praeger, MD
• Cortney Lee Prchal, OTR/L CHT
• Pregnancy and Postpartum Support Minnesota
• Premier Diagnostic Imaging, Inc.
• Premier Diagonstic Imaging, Inc
• Kaila Prestrud, DR. PHYSICAL THERAPY
• Samantha Jo Preusser, MSW, LICSW

• Chiropractor in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.