Organization Active NPI

Urbain Family Chiropractic PLLC

  • Chiropractor
  • Elgin, MN
National Provider Identifier
1013106053
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3916 Issued in MN
Legal business name
URBAIN FAMILY CHIROPRACTIC PLLC
Practice address
128 2ND Ave SE
Elgin, MN 55932-9732
Phone
(507) 876-9997
Fax
(507) 876-9923
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Dr. Colleen Urbain Hess, D.CNPI 1861569469
Title
Owner
Phone
(507) 876-9997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3916 MN Primary

Addresses

Primary practice location

128 2ND Ave SE
Elgin, MN 55932-9732

Mailing address

128 2ND Ave SE
PO Box 317
Elgin, MN 55932-9732
Phone (507) 876-9997

Other identifiers 2

IdentifierTypeStateIssuer
153461100MedicaidMN
U81293OtherMNUPIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050421001051 MN Part B Supplier - Clinic/Group Practice 6002854890 Receives reassigned benefits from 1 practitioner
Practice locations: Elgin, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2157748Urbain Family Chiropractic PLLC128 2ND Ave SE, Elgin, MN 55932Certificate of waiverNov 12, 2026

National Provider Directory

National Provider Directory

Locations

128 2nd Ave SE
Elgin, MN 55932
Phone (507) 876-9997

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1013106053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 2ND AVE SE",
            "address_2": "PO BOX 317",
            "city": "ELGIN",
            "state": "MN",
            "postal_code": "559329732",
            "telephone_number": "507-876-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 2ND AVE SE",
            "city": "ELGIN",
            "state": "MN",
            "postal_code": "559329732",
            "telephone_number": "507-876-9997",
            "fax_number": "507-876-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAIN FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "URBAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-876-9997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153461100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U81293",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.