Individual provider Active NPI

Brett Wayne Speer, D.C.

  • Chiropractor
  • Little Falls, MN
National Provider Identifier
1003055989
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010069 Issued in PA
Practice address
114 1St Street NE
Little Falls, MN 56345
Phone
(701) 212-8528
Fax
(215) 925-8005
NPI assigned
Feb 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010069 PA Primary
Chiropractor 111N00000X 5196 MN

Addresses

Primary practice location

114 1St Street NE
Little Falls, MN 56345

Mailing address

119 Shores Road
Ottertail, MN 56571
Phone (701) 212-8528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100215000656 MN Practitioner - Chiropractic 6002950052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

114 1St St NE
Little Falls, MN 56345-2602
Phone (320) 639-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010069PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Speer Chiropractic, P.a. Chiropractor CurrentSince Nov 19, 2010 Accepting new patients
Mason Orth PC MN Chiropractor PastSince May 3, 2011 Accepting new patients
Family Chiropractic Center of Little Falls, P.a. Chiropractor Past Accepting new patients

Locations

114 1st St NE
Little Falls, MN 56345
Phone (320) 639-2200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1003055989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SHORES ROAD",
            "city": "OTTERTAIL",
            "state": "MN",
            "postal_code": "56571",
            "telephone_number": "701-212-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 1ST STREET NE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "56345",
            "telephone_number": "701-212-8528",
            "fax_number": "215-925-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEER",
        "first_name": "BRETT",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-17",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010069",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.