Organization Active NPI

Healthways Chiropractic, PA

  • Rehabilitation Chiropractor
  • Richfield, MN
National Provider Identifier
1982743845
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
1768 Issued in MN
Legal business name
HEALTHWAYS CHIROPRACTIC, PA
Practice address
7400 Lyndale Ave S Ste 190
Richfield, MN 55423-4142
Phone
(612) 869-7371
Fax
(612) 869-2761
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Judith St. Clair, DCNPI 1639179625
Title
President
Phone
(612) 869-7371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 1768 MN Primary

Addresses

Primary practice location

7400 Lyndale Ave S Ste 190
Richfield, MN 55423-4142

Mailing address

7400 Lyndale Ave S Ste 190
Richfield, MN 55423-4142
Phone (612) 869-7371

Other identifiers 5

IdentifierTypeStateIssuer
16712CLOtherMNBCBSM ID
1C007STOtherMNBCBSM INDIV. PROV. NO.
44-48356OtherMNMEDICA ID
1639179625OtherMNINDIV. NPI
88651OtherMNHEALTH PARTNERS UPIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091012000491 MN Part B Supplier - Clinic/Group Practice 2860538402 Receives reassigned benefits from 1 practitioner
Practice locations: Richfield, MN

National Provider Directory

National Provider Directory

Locations

7400 Lyndale Ave S
Ste 130
Richfield, MN 55423
Phone (612) 869-7371

7400 Lyndale Ave S
Richfield, MN 55423
Phone (605) 759-1355

7400 Lyndale Ave S
Ste 190
Richfield, MN 55423
Phone (612) 866-5335

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982743845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LYNDALE AVE S STE 190",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554234142",
            "telephone_number": "612-869-7371",
            "fax_number": "612-869-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 LYNDALE AVE S STE 190",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554234142",
            "telephone_number": "612-869-7371",
            "fax_number": "612-869-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWAYS CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ST. CLAIR",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-869-7371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MN",
            "license": "1768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM ID",
            "identifier": "16712CL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM INDIV. PROV. NO.",
            "identifier": "1C007ST",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA ID",
            "identifier": "44-48356",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV. NPI",
            "identifier": "1639179625",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS UPIN",
            "identifier": "88651",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

  • 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.
  • 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.