Organization Active NPI

Mecca Health Epicenter, LLC

  • Pediatric Chiropractor
  • North Mankato, MN
National Provider Identifier
1093624587
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
Legal business name
MECCA HEALTH EPICENTER, LLC
Practice address
1761 Commerce Dr
North Mankato, MN 56003-1802
Phone
(507) 995-0226
NPI assigned
Sep 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Dr. Maxamillion Anthony Mettler, DC, DPHCS
Title
Co-Founder
Phone
(507) 995-0226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NP0017X Primary

Addresses

Primary practice location

1761 Commerce Dr
North Mankato, MN 56003-1802

Mailing address

1761 Commerce Dr
North Mankato, MN 56003-1802
Phone (507) 995-0226

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1093624587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 COMMERCE DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031802",
            "telephone_number": "507-995-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 COMMERCE DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031802",
            "telephone_number": "507-995-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECCA HEALTH EPICENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "METTLER",
        "authorized_official_first_name": "MAXAMILLION",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "507-995-0226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DPHCS"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.