Golden Sun Chiropractic Wellness Center, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2875 Issued in MN

Legal business name

GOLDEN SUN CHIROPRACTIC WELLNESS CENTER, PLLC

Practice address

220 W 98TH St Ste 7
Bloomington, MN 55420-2000

Phone

(952) 922-1478

Fax

(952) 922-0248

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Una Yvette Forde, DCNPI 1407863590

Title

Owner/Sole Member

Phone

(952) 922-1478

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Planet Gratitude Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Una Yvette Forde, D.C.

  • Chiropractor
  • Bloomington, MN
  • NPI 1407863590
  Medicare reassignment NPD Authorized official
• Theodore James Rick, LMT,CMT

  • Massage Therapist
  • Saint Louis Park, MN
  • NPI 1629315866
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1982744140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W 98TH ST STE 7",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202000",
            "telephone_number": "952-922-1478",
            "fax_number": "952-922-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 98TH ST STE 7",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202000",
            "telephone_number": "952-922-1478",
            "fax_number": "952-922-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN SUN CHIROPRACTIC WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "FORDE",
        "authorized_official_first_name": "UNA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "952-922-1478",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7482281-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planet Gratitude Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Theresa Goebel
• Jason Layne Goetsch, HID
• Gold Star Home Healthcare Inc
• Golden Consulting LLC
• Golden Star LLC
• Jason Goldfarb
• Jack Goldstein, MD
• Emilie Goldsworthy
• Nathaniel Gonzales, DDS
• Anthony Angel Gonzalez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.