Active NPI
Speer Chiropractic, P.a.
- Chiropractor
- Little Falls, MN
National Provider Identifier
1053612887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5196
- Legal business name
- SPEER CHIROPRACTIC, P.A.
- Practice address
- 114 1St St NE
Little Falls, MN 56345-2602 - Phone
- (701) 212-8528
- NPI assigned
- Nov 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Johnson
- Title
- Manager
- Phone
- (320) 360-5112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5196 | MN | Primary |
Addresses
Primary practice location
114 1St St NE
Little Falls, MN 56345-2602
Mailing address
119 Shores Rd
Ottertail, MN 56571-7114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
114 1st St NE
Little Falls, MN 56345
Phone (320) 639-2200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Little Falls, MN
- NPI 1003055989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289347200000",
"number": "1053612887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 SHORES RD",
"city": "OTTERTAIL",
"state": "MN",
"postal_code": "565717114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 1ST ST NE",
"city": "LITTLE FALLS",
"state": "MN",
"postal_code": "563452602",
"telephone_number": "701-212-8528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEER CHIROPRACTIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-10",
"last_updated": "2010-11-10",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "320-360-5112"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "5196",
"primary": true
}
],
"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 Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.