NPIMap

Organization Active NPI

Moseng Chiropractic PLLP

  • Sports Physician Chiropractor
  • Montevideo, MN
National Provider Identifier
1083120372
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2209 Issued in MN
Legal business name
MOSENG CHIROPRACTIC PLLP
Practice address
525 Legion Dr Ste 1
Montevideo, MN 56265-1723
Phone
(320) 269-7135
Fax
(320) 269-7583
NPI assigned
Dec 21, 2017
Last updated
Jan 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Authorized official

Name
Dr. Brock J Madsen, DCNPI 1669846689
Title
Owner
Phone
(320) 269-7135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 6138 MN
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 2209 MN Primary

Addresses

Primary practice location

525 Legion Dr Ste 1
Montevideo, MN 56265-1723

Mailing address

525 Legion Dr Ste 1
Montevideo, MN 56265-1723
Phone (320) 269-7135

Other identifiers 1

IdentifierTypeStateIssuer
647527200MedicaidMN

National Provider Directory

National Provider Directory

Locations

525 Legion Dr
Ste 1
Montevideo, MN 56265
Phone (320) 269-7135

Practitioners & affiliated clinicians

Practitioners 2

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": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1083120372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 LEGION DR STE 1",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651723",
            "telephone_number": "320-269-7135",
            "fax_number": "320-269-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 LEGION DR STE 1",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651723",
            "telephone_number": "320-269-7135",
            "fax_number": "320-269-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSENG CHIROPRACTIC PLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "BROCK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-269-7135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6138",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "2209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "647527200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montevideo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.