South Metro Wellness Clinic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUTH METRO WELLNESS CLINIC PLLC

Practice address

14031 Burnhaven Dr
100
Burnsville, MN 55337-4473

Phone

(952) 892-5006

Fax

(952) 892-5008

NPI assigned

Jul 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Christine M Rankin, D.C.NPI 1134418619

Title

Doctor/Owner

Phone

(952) 892-5006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Christine M Rankin, D.C.

  • Chiropractor
  • Burnsville, MN
  • NPI 1134418619
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1992189542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14031 BURNHAVEN DR",
            "address_2": "100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374473",
            "telephone_number": "952-892-5006",
            "fax_number": "952-892-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14031 BURNHAVEN DR",
            "address_2": "100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374473",
            "telephone_number": "952-892-5006",
            "fax_number": "952-892-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METRO WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "952-892-5006",
        "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": []
}

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

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