Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922252964 Individual Practitioner Female Practitioner

Dr. Rena Ann Widboom , DC

Chiropractor • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Rena Widboom, DC is a registered healthcare professional specializing in Chiropractor in Minneapolis, MN. Practice services are available at 2112 LYNDALE AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2112 Lyndale Ave S

Minneapolis, MN 554053026

Telephone 6128741313
Associated Practice Facility / Clinic
🏢 Chirocenter Mn, Inc. Facility NPI 1750673117

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
245 Specialists

Practicing in Minneapolis, MN (3487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MN 5145

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1073322210

Doctor of Chiropractic

NPI 1114558814

Doctor of Chiropractic

Andrew Milligan

Massage Therapist

NPI 1174069561
David Kucera

Massage Therapist

NPI 1174917942
NPI 1447755632

Doctor of Chiropractic

NPI 1871002295

Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 26, 2012

Registered at 2112 LYNDALE AVE S, MINNEAPOLIS, MN 554053026 (Tel: 6128741313)

📍
Updated Business Mailing Address November 26, 2012

Registered at 13605 27TH AVE N, PLYMOUTH, MN 554413616 (Tel: 7635595326)

👤
Provider Name / Credentials Updated November 26, 2012

Recorded as RENA WIDBOOM, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2012

Chiropractor (License #5145 in MN)

🟢
Initial NPI Registration & Enumeration November 04, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922252964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2008
Last Update: November 26, 2012
Sole Proprietor: Yes

Mailing Address

13605 27th Ave N

Plymouth, MN 554413616

Phone: 7635595326

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.