Organization Active NPI

Catalyst Chiropractic, PLLC

  • Health Service Clinic/Center
  • Stillwater, MN
National Provider Identifier
1134583792
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
6190 Issued in MN
Legal business name
CATALYST CHIROPRACTIC, PLLC
Practice address
450 Main St N
Stillwater, MN 55082-5060
Phone
(651) 300-2549
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Dr. Erin Jo Miller, D.C.NPI 1730536319
Title
Chiropractic Physician
Phone
(651) 785-3511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 6190 MN Primary

Addresses

Primary practice location

450 Main St N
Stillwater, MN 55082-5060

Mailing address

16155 Xingu St NE
Columbus, MN 55025
Phone (651) 785-3511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160912000815 MN Part B Supplier - Clinic/Group Practice 0042506438 Receives reassigned benefits from 1 practitioner
Practice locations: Stillwater, MN

National Provider Directory

National Provider Directory

Locations

450 Main St N
Stillwater, MN 55082
Phone (651) 300-2549

275 3rd St S
Ste 101A
Stillwater, MN 55082
Phone (651) 300-2549

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1134583792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16155 XINGU ST NE",
            "city": "COLUMBUS",
            "state": "MN",
            "postal_code": "55025",
            "telephone_number": "651-785-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MAIN ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825060",
            "telephone_number": "651-300-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALYST CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "651-785-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "6190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.