Chad Herrboldt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5945 Issued in MN

Practice address

7835 Main St N Ste 230
Maple Grove, MN 55369-7072

Phone

(763) 600-6450

NPI assigned

Jun 30, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Hartford Spinal Care PCGroup PAC ID 1254437163, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hartford Spinal Care PC

  • Chiropractor
  • Hartford, SD
  • NPI 1558482554
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1124433099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7835 MAIN ST N STE 230",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697072",
            "telephone_number": "763-600-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7835 MAIN ST N STE 230",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697072",
            "telephone_number": "763-600-6450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 W Hwy 38 #122",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "SD",
            "postal_code": "57033",
            "country_code": "US",
            "telephone_number": "605-528-6240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRBOLDT",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Henschel, RDN, LD
• Heritage Grove Inc
• Heritage Grove Inc
• Mark Alan Hermes, PT, DPT
• Trevor Hernandez
• Rebecca Herrmann, DNP
• Marykay Heruth, PT
• Tim Scott Herzog
• Corey A Hiben, OT
• Deborah Lynn Higgins

• Chiropractor in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.