Michael Lloyd Buffington, DC
Individual provider Active NPI Chiropractor · Osakis, MN
NPI 1124169446 · NPPES record last updated Jul 18, 2008
Key facts
- NPI
- 1124169446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3609 (MN)
- Practice address
- 52 West Main St
Osakis, MN 56360 - Phone
- (320) 859-5976
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
52 W Main St
Osakis, MN 56360-4400
Phone (320) 859-5976
52 W Main St
PO Box 452
Osakis, MN 56360-0452
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050606000810 | MN | Practitioner - Chiropractic | 0244273720 | Practice locations: Osakis, MN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3609 | MN | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3609 | MN | Yes |
Addresses
Primary practice location
52 West Main St
Osakis, MN 56360
Mailing address
52 W Main St
Box 452
Osakis, MN 56360
Phone (320) 859-5976
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 979695900 | Medicaid | MN |
NPI Registry JSON
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1124169446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 W MAIN ST",
"address_2": "BOX 452",
"city": "OSAKIS",
"state": "MN",
"postal_code": "56360",
"telephone_number": "320-859-5976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 WEST MAIN ST",
"city": "OSAKIS",
"state": "MN",
"postal_code": "56360",
"telephone_number": "320-859-5976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUFFINGTON",
"first_name": "MICHAEL",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "979695900",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Osakis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.