MR. ROBERT DONALD WADDELL JR. (NPI# 1922167329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922167329 |
| Entity Type | Individual |
| Full Name | MR. ROBERT DONALD WADDELL JR. |
| Credential | DC |
| Practice Address |
12099 Lake Blvd Lindstrom MN 55045 |
| Practice Telephone | 6512571103 |
| Practice Fax Number | 6512571552 |
| Mailing Telephone | 6512571103 |
| Mailing Fax Number | 6512571552 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1473 | MN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750485058 | Robert Luther Waddell | Surgery | 435 N Monte Vista, Ada, OK 74820 | 2006-09-08 |
| 1033445218 | Robert Donald Waddell IIi | Chiropractor | 12099 Lake Blvd, Lindstrom, MN 55045-9322 | 2009-10-23 |
| Street Address |
12099 LAKE BLVD |
| City | LINDSTROM |
| State | MN |
| Zip Code | 55045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043548951 | Lindstrom Chiropractic Center, P.a. | Chiropractor | 12099 Lake Blvd, Lindstrom, MN 55045-9322 | 2009-12-04 |
| 1033445218 | Robert Donald Waddell IIi | Chiropractor | 12099 Lake Blvd, Lindstrom, MN 55045-9322 | 2009-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818354 | Eddiction Medicine Pllc | Clinic/Center | 12018 285th Street, Lindstrom, MN 55045 | 2020-10-09 |
| 1780844613 | Deboorah A Gibson | Custodial Care Facility | 28131 Newberry Trail, Lindstrom, MN 55045 | 2008-06-13 |
| 1831356773 | Lake Optometric Vision Pa | Optometrist | 12700 Lake Blvd, Lindstrom, MN 55045 | 2008-05-19 |
| 1861534315 | Vernon Bruce Lovdokken | Optometrist | 12700 Lake Boulevard, Lindstrom, MN 55045 | 2007-02-13 |
| 1366516767 | Kimberley M Johnson Dc | Chiropractor | 12814 Lake Boulevard, Lindstrom, MN 55045 | 2006-11-17 |
| 1225112022 | Lindstrom Family Dentistry LLC | Dentist | 30554 Park Street North, Lindstrom, MN 55045 | 2006-10-25 |
| 1508959164 | Joseph Virga | Chiropractor | 12670 Lake Blvd, Lindstrom, MN 55045 | 2006-10-02 |
| 1609975713 | Four Winds Center for Wellness Inc | Social Worker | 28141 Lakelawn Drive, Lindstrom, MN 55045 | 2006-09-22 |
| 1629079983 | Michael A Hursh | Dentist | 30554 Park St, Lindstrom, MN 55045 | 2005-08-09 |
| 1083615405 | Matthew Struve | Dentist | 30554 Park Street, Lindstrom, MN 55045 | 2005-08-09 |
| Find all providers in zip 55045 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346489176 | Erik J. Peterson Chiropractic, LLC | Chiropractor | 12814 Lake Blvd, Lindstrom, MN 55045-9345 | 2009-02-18 |
| 1962529560 | Christina Mae Mickelson | Chiropractor | 30840 N Lakes Trl, Lindstrom, MN 55045-9497 | 2007-03-26 |
| 1366516767 | Kimberley M Johnson Dc | Chiropractor | 12814 Lake Boulevard, Lindstrom, MN 55045 | 2006-11-17 |
| 1508959164 | Joseph Virga | Chiropractor | 12670 Lake Blvd, Lindstrom, MN 55045 | 2006-10-02 |
| 1043548951 | Lindstrom Chiropractic Center, P.a. | Chiropractor | 12099 Lake Blvd, Lindstrom, MN 55045-9322 | 2009-12-04 |
| 1033445218 | Robert Donald Waddell IIi | Chiropractor | 12099 Lake Blvd, Lindstrom, MN 55045-9322 | 2009-10-23 |
| 1356576060 | Lakes Area Chiropractic Clinic LLC | Chiropractor | 12814 Lake Blvd, Lindstrom, MN 55045-9345 | 2009-05-26 |
| 1538215462 | Virga Chiropractic Clinic Pa | Chiropractor | 12670 Lake Blvd, Lindstrom, MN 55045-0482 | 2007-01-25 |
| 1881780732 | Kathleen Marie Virga | Chiropractor | 12670 Lake Blvd, Lindstrom, MN 55045 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
| 1063013340 | Plymouth Chirocenter LLC | Chiropractor | 3900 Vinewood Ln N Ste 19, Plymouth, MN 55441-1155 | 2020-11-04 |
| 1093315855 | Today Evolved Ltd. | Chiropractor | 321 Broadway Ave, St Paul Park, MN 55071-1841 | 2020-10-29 |
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1659988848 | Amanda Shorter | Chiropractor | 669 Winnetka Ave N Ste 202, Golden Valley, MN 55427-4576 | 2020-09-30 |
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1316559024 | Lashonda Jung | Chiropractor | 8112 Minnetonka Blvd, St Louis Park, MN 55426-3022 | 2020-08-24 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1366051278 | Altrui Sc | Chiropractor | 11985 Technology Dr Ste 120, Eden Prairie, MN 55344-3614 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.