Elite Chiropractic-North St. Paul

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELITE CHIROPRACTIC-NORTH ST. PAUL

Practice address

2597 7TH Ave E
Saint Paul, MN 55109-3104

Phone

(651) 777-1710

Fax

(651) 777-9108

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Dale Wildberg, D.C.

Title

Owner, President of LLC

Phone

(952) 492-5914

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• David Joseph Czeck, DAVID CZECK, D.C.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1184790388
  NPD (past)
• Jesse C. Ploessl, D.C.

  • Chiropractor
  • Inver Grove Heights, MN
  • NPI 1831122597
  NPD (past)
• Wendy Lynn Swanson, D.C.

  • Chiropractor
  • North St. Paul, MN
  • NPI 1679504385
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972529634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20456 LAKE RIDGE DR",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553727805",
            "telephone_number": "952-492-5914",
            "fax_number": "952-492-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2597 7TH AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551093104",
            "telephone_number": "651-777-1710",
            "fax_number": "651-777-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHIROPRACTIC-NORTH ST. PAUL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILDBERG",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER, PRESIDENT OF LLC",
        "authorized_official_telephone_number": "952-492-5914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne M Elg, SLP, CCC
• Jessica Lynn Eliason, DC
• Lynnette K Eliason, DDS
• Zackary W Eliason, PT, DPT
• Elite Care Chiropractic P.a.
• Elite Health Services LLC
• Elite Home Health Services, Incorporated
• Elite Radiology P.a.
• Elite Recovery LLC
• Elizabeth Hayes, Psy.D., L.P., PLLC

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.