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HEALTHSOURCE ST. PAUL
NPI 1205145273
Chiropractor in Saint Paul, MN

Active since September 24, 2010
1815 SUBURBAN AVE, SAINT PAUL, MN 55119(651) 731-1880(651) 739-6029 Get Directions Write a Review

NPPES record last updated: September 24, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Healthsource St. Paul NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSOURCE ST. PAUL (NPI 1205145273) is a healthcare organization registered as a chiropractor in Saint Paul, Minnesota and active in the NPI registry since September 2010. The organization lists Joshua Anthony Kary, Director/owner, as its authorized official.

NPPES Registry Identity

NPI1205145273
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameIHS OF WOODBURY, P.A.
Location Address1815 SUBURBAN AVESaint Paul, MN 55119-4302
Mailing Address1815 Suburban AveSaint Paul, MN 55119-4302 · (651) 731-1880 · Fax (651) 739-6029
Phone(651) 731-1880
Fax(651) 739-6029
Organization SubpartNo
Authorized OfficialJoshua Anthony KaryDirector/owner · (651) 731-1880
Enumeration DateSeptember 24, 2010
✔ NPI 1205145273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 4486
Definition
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.
1815 SUBURBAN AVE, Saint Paul, MN 55119
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Other Names 1

Doing Business AsHealthsource St. Paul

Other Identifiers 3

Medicare PIN350004057MN
Other556P8KAMN · Bluecross Blueshield
Medicaid762240600MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthsource St. Paul is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healthsource St. Paul, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joshua Kary, DC
Chiropractic
NPI 1780707091
8519 EAGLE POINT BLVD STE 110
Lake Elmo, MN 55042
(651) 731-1880
✔ Accepts Medicare4.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ihs Of Woodbury, P.A.'s NPI number?

The NPI number for Ihs Of Woodbury, P.A. is 1205145273. It was assigned to this organization in the NPPES registry on September 24, 2010. The provider is doing business as Healthsource St. Paul.

Where is Ihs Of Woodbury, P.A. located?

Ihs Of Woodbury, P.A. is located at 1815 Suburban Ave, Saint Paul, MN 55119. The listed phone number is (651) 731-1880.

What is Ihs Of Woodbury, P.A.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ihs Of Woodbury, P.A. enrolled in Medicare?

Yes. Ihs Of Woodbury, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ihs Of Woodbury, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Ihs Of Woodbury, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ihs Of Woodbury, P.A. was last updated on September 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.