Individual provider Active NPI

Emily Rayner Bottoms, D.C.

  • Chiropractor
  • Waconia, MN
National Provider Identifier
1073802179
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5476 Issued in MN
Practice address
9384 Oak Ave
Ste a
Waconia, MN 55387-9422
Phone
(952) 442-3220
NPI assigned
Mar 30, 2011
Last updated
Nov 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5476 MN Primary

Addresses

Primary practice location

9384 Oak Ave
Ste a
Waconia, MN 55387-9422

Mailing address

9384 Oak Ave
Ste a
Waconia, MN 55387-9422
Phone (952) 442-3220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110804000195 MN Practitioner - Chiropractic 4587833785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waconia Family ChiropracticGroup PAC ID 9234438045, 3 clinicians

Practice addresses (Care Compare)

9384 Oak Ave
Suite a
Waconia, MN 55387-9422
Phone (952) 442-3220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5476MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Waconia Family Chiropractic Chiropractor CurrentSince May 1, 2016 Accepting new patients
Neubauer Chiropractic Health Center, PA Chiropractor Past Accepting new patients
Neubauer Chiropractic Health Center, PA Chiropractor Past Accepting new patients

Locations

29 E Main St
Waconia, MN 55387
Phone (952) 442-7015

9384 Oak Ave
Ste A
Waconia, MN 55387
Phone (952) 442-3220

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1073802179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9384 OAK AVE",
            "address_2": "STE A",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553879422",
            "telephone_number": "952-442-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9384 OAK AVE",
            "address_2": "STE A",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553879422",
            "telephone_number": "952-442-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTOMS",
        "first_name": "EMILY",
        "middle_name": "RAYNER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.