Active NPI
Maplewood White Bear Chiropractic Center
- Chiropractor
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MN4352
- Legal business name
- MAPLEWOOD WHITE BEAR CHIROPRACTIC CENTER
- Practice address
- 2055 White Bear Ave N Ste 140
Maplewood, MN 55109-3719 - Phone
- (651) 770-8091
- Fax
- (651) 770-8781
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dana Marie Benassi, D.C.
- Title
- Owner
- Phone
- (651) 770-8091
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MN4352 | MN | Primary |
Addresses
Primary practice location
2055 White Bear Ave N Ste 140
Maplewood, MN 55109-3719
Mailing address
2055 White Bear Ave N Ste 140
Maplewood, MN 55109-3719
Phone (651) 770-8091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2055 White Bear Ave N
Ste 140
Saint Paul, MN 55109
Phone (651) 770-8091
2580 White Bear Ave N
Ste 100
Saint Paul, MN 55109
Phone (651) 770-8091
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": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366329600000",
"number": "1992806673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 WHITE BEAR AVE N STE 140",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551093719",
"telephone_number": "651-770-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 WHITE BEAR AVE N STE 140",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551093719",
"telephone_number": "651-770-8091",
"fax_number": "651-770-8781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAPLEWOOD WHITE BEAR CHIROPRACTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2013-04-19",
"status": "A",
"authorized_official_last_name": "BENASSI",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-770-8091",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "MN4352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.