Organization Active NPI

Potential Health PA

Doing business as Mages Chiropractic

  • Chiropractor
  • Mankato, MN
National Provider Identifier
1033348875
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5154 Issued in MN
Legal business name
POTENTIAL HEALTH PA
Doing business as
Mages Chiropractic
Practice address
309 Madison Ave
Mankato, MN 56001-3310
Phone
(507) 387-5978
Fax
(507) 387-2563
NPI assigned
Jul 14, 2009
Last updated
Jul 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Dr. Randy John Mages, D.C.
Title
Doctor of Chiropractic
Phone
(507) 387-5978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5154 MN Primary

Addresses

Primary practice location

309 Madison Ave
Mankato, MN 56001-3310

Mailing address

309 Madison Ave
Mankato, MN 56001-3310
Phone (507) 387-5978

Other names 1

  • Mages Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

309 Madison Ave
Mankato, MN 56001
Phone (507) 387-1222

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1033348875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013310",
            "telephone_number": "507-387-5978",
            "fax_number": "507-387-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013310",
            "telephone_number": "507-387-5978",
            "fax_number": "507-387-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTENTIAL HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "MAGES",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "507-387-5978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mages Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.