WEDGEWOOD CHIROPRACTIC P.A. NPI 1174560064

NPI Information

  • NPI: 1174560064
  • Provider Name: WEDGEWOOD CHIROPRACTIC, P.A.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 3060 WOODBURY DR
    SUITE A
    WOODBURY, MN
    ZIP 55129
  • Phone: (651) 731-5124

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NPI Details

WEDGEWOOD CHIROPRACTIC, P.A. is a chiropractor in Woodbury, MN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WEDGEWOOD CHIROPRACTIC, P.A. NPI is 1174560064. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3060 WOODBURY DR
SUITE A
WOODBURY, MN
ZIP 55129-617
Phone: (651) 731-5124
Fax: (651) 731-0509

The provider's authorized official is John Richard Dixon .
The authorized official title is President And Chief Executive Offic and has the following contact phone number (651) 731-5124.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 5/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103N70WEOTHERMINNESOTABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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