Healthsource Chiropractic of New Prague, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HEALTHSOURCE CHIROPRACTIC OF NEW PRAGUE, PA

Practice address

314 Main St E
New Prague, MN 56071-2448

Phone

(952) 758-4121

NPI assigned

Feb 7, 2022

Organization subpart

No

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

Authorized official

Name

Samantha Marie Chambers, DCNPI 1255970471

Title

Associate Doctor

Phone

(575) 760-9207

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Chambers, D.C.

  • Chiropractor
  • Apple Valley, MN
  • NPI 1255970471
  Medicare reassignment NPD Authorized official
• Casey Lee Paulsen, DC

  • Chiropractor
  • Plymouth, MN
  • NPI 1871597351
  NPD

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1093469397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MAIN ST E",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712448",
            "telephone_number": "952-758-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MAIN ST E",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712448",
            "telephone_number": "952-758-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE CHIROPRACTIC OF NEW PRAGUE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ASSOCIATE DOCTOR",
        "authorized_official_telephone_number": "575-760-9207",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schambers@healthsourcechiro.com",
            "affiliation": "N",
            "endpointDescription": "Doctor's Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email Address",
            "address_1": "314 Main St E",
            "city": "New Prague",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560712448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diamond Gosa
• Mikayla Kranz Groh, ARPN, CNM
• Nicole Kristine Hachfeld, LICSW
• Heather Hamernick
• Troy D Hanson, M.D.
• Kennya Guadalupe Hernandez
• Martin J Herrmann, MD
• Lois A Huber
• Laurie Ann Reiner Hughes, D.C.
• Hy-Vee Inc

• Chiropractor in New Prague, MN
• Providers in New Prague, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.

Verify at the official NPI Registry.