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ROOTS WELLCARE, P.A.
NPI 1770754392
Chiropractor in St Paul, MN

Active since March 24, 2008
570 ASBURY STREET, SUITE 102, ST PAUL, MN 55104(651) 310-0000(651) 389-9491 Get Directions Write a Review

NPPES record last updated: December 10, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Roots Wellcare, P.a. NPPES

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

ROOTS WELLCARE, P.A. (NPI 1770754392) is a healthcare organization registered as a chiropractor in St Paul, Minnesota and active in the NPI registry since March 2008. The organization lists Carla Jean Breunig, President/owner, as its authorized official.

NPPES Registry Identity

NPI1770754392
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameROOTS WELLCARE, P.A.
Location Address570 ASBURY STREET, SUITE 102St Paul, MN 55104-1852
Mailing Address570 Asbury Street, Suite 102St Paul, MN 55104-1852 · (651) 310-0000 · Fax (651) 389-9491
Phone(651) 310-0000
Fax(651) 389-9491
Organization SubpartNo
Authorized OfficialCarla Jean BreunigPresident/owner · (651) 644-0455
Enumeration DateMarch 24, 2008
Last NPPES UpdateDecember 10, 2008
✔ NPI 1770754392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 3123
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.
570 ASBURY STREET, St Paul, MN 55104
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Other Identifiers 5

Medicare PIN350002980MN
Other4C181BRMN · Blue Cross Blue Shield
Other3123MN · Chiropractic License No.
Medicare UPINU53479MN
Medicaid465860400MN

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILL EVELYN SIMON MSW LICSW
Social Worker (Clinical)
570 ASBURY STREET, SUITE 310
SAINT PAUL, MN 55104
Ramsey County (651) 646-7010
DR. MARGARET CHARITY CHARMOLI PHD
Psychologist (Counseling)
570 ASBURY STREET, SUITE 202A
ST PAUL, MN 55104
Ramsey County (651) 645-5588

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 Roots Wellcare, P.A.'s NPI number?

The NPI number for Roots Wellcare, P.A. is 1770754392. It was assigned to this organization in the NPPES registry on March 24, 2008.

Where is Roots Wellcare, P.A. located?

Roots Wellcare, P.A. is located at 570 Asbury Street Suite 102, St Paul, MN 55104. The listed phone number is (651) 310-0000.

What is Roots Wellcare, P.A.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Roots Wellcare, P.A. was last updated on December 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.