Mandi Lynne Miedema, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6600 Issued in CO

Practice address

11605 Meridian Market VW Ste 142
Falcon, CO 80831-8238

Phone

(701) 830-0431

NPI assigned

Mar 4, 2009

Last updated

Nov 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rock Solid Chiropractic in JamestownGroup PAC ID 4284966425, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Rock Solid Chiropractic in Jamestown

  dba Rock Solid Chiropractic

  • Chiropractor
  • Marion, ND
  • NPI 1073163176
  Medicare reassignment Care Compare group NPD Authorized official
• Rock Solid Chiropractic PLLC

  • Chiropractor
  • Falcon, CO
  • NPI 1306149190
  Authorized official Same address or phone

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1003056961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 MERIDIAN MARKET VW STE 142",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808318238",
            "telephone_number": "701-830-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 MERIDIAN MARKET VW STE 142",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808318238",
            "telephone_number": "701-830-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIEDEMA",
        "first_name": "MANDI",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Lloyd, PHARMD
• George Michael Lopez, APRN
• Savanna Manfredonia, LMFT, CST
• Chelsey McGehee, RN, ADN, CLD
• Melissa Ann Menges Smith, D.C.
• Laura Renee Miller
• Scott G Miller, DC
• My Local Colorado Dental Practice, LLC (Woodmen Dental Group)
• Amy Brandsborg Oros, DOM, LAC
• Francine J Palmer, D.C.

• Chiropractor in Falcon, CO
• Providers in Falcon, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.