Individual provider Active NPI

Dorothy Carol Saunders, D.C.

  • Chiropractor
  • Monticello, MN
National Provider Identifier
1083637045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3823 Issued in MN
Practice address
261 E Broadway St
Monticello, MN 55362-9317
Phone
(763) 295-0303
Fax
(763) 295-0303
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3823 MN Primary

Addresses

Primary practice location

261 E Broadway St
Monticello, MN 55362-9317

Mailing address

261 E Broadway St
P.O. Box 962
Monticello, MN 55362-9317
Phone (763) 295-0303

Other identifiers 1

IdentifierTypeStateIssuer
27G60TEOtherMNBCBS PROVIDER #

Other names 1

  • Mrs. Dorothy Carol O'Connor Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061214000412 MN Practitioner - Chiropractic 8820097124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

355 E Broadway St
Monticello, MN 55362-9302
Phone (763) 295-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Team Chiropractic & Wellness Center CurrentSince Dec 1, 1999 Accepting new patients

Locations

355 E Broadway St
Monticello, MN 55362
Phone (763) 295-0303

261 E Broadway St
Monticello, MN 55362
Phone (763) 207-8185

Organizations & group practices 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083637045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 E BROADWAY ST",
            "address_2": "P.O. BOX 962",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553629317",
            "telephone_number": "763-295-0303",
            "fax_number": "763-295-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 E BROADWAY ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553629317",
            "telephone_number": "763-295-0303",
            "fax_number": "763-295-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "DOROTHY",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "27G60TE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "O'CONNOR",
            "middle_name": "CAROL",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monticello, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.