NPIMap

Organization Active NPI

Waseca Family Chiropractic Clinic Inc.

  • Clinic/Center
  • Waseca, MN
National Provider Identifier
1124349253
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3328 Issued in MN
Legal business name
WASECA FAMILY CHIROPRACTIC CLINIC INC.
Practice address
117 State St N
Waseca, MN 56093-2928
Phone
(507) 835-7660
Fax
(507) 835-7691
NPI assigned
Jun 11, 2010
Last updated
Apr 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Robert Paul Daschner, D.C.NPI 1386638161
Title
Owner/Operator
Phone
(507) 835-7660

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3328 MN Primary

Addresses

Primary practice location

117 State St N
Waseca, MN 56093-2928

Mailing address

117 State St N
Waseca, MN 56093-2928
Phone (507) 835-7660

Other identifiers 2

IdentifierTypeStateIssuer
343218100MedicaidMN
1386638161OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

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": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1124349253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 STATE ST N",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932928",
            "telephone_number": "507-835-7660",
            "fax_number": "507-835-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 STATE ST N",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932928",
            "telephone_number": "507-835-7660",
            "fax_number": "507-835-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASECA FAMILY CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "DASCHNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "507-835-7660",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "3328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343218100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1386638161",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waseca, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.