Active NPI
Linden Chiropractic Clinic P.a.
- Rehabilitation Chiropractor
- Willmar, MN
National Provider Identifier
1154513489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- Legal business name
- LINDEN CHIROPRACTIC CLINIC P.A.
- Practice address
- 1604 1St St S
Willmar, MN 56201-4243 - Phone
- (320) 231-2513
- Fax
- (320) 231-3135
- NPI assigned
- Aug 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Charles Linden, D.C.
- Title
- Owner/Operator
- Phone
- (320) 231-2513
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | Primary |
Addresses
Primary practice location
1604 1St St S
Willmar, MN 56201-4243
Mailing address
1604 1St St S
Willmar, MN 56201-4243
Phone (320) 231-2513
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 762528600 | Medicaid | MN | |
| 60676LI | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
102 Minnesota Ave SW
Willmar, MN 56201
Phone (320) 231-2513
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Willmar, MN
- NPI 1649356213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199232000000",
"number": "1154513489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 1ST ST S",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562014243",
"telephone_number": "320-231-2513",
"fax_number": "320-231-3135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 1ST ST S",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562014243",
"telephone_number": "320-231-2513",
"fax_number": "320-231-3135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDEN CHIROPRACTIC CLINIC P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-10",
"last_updated": "2008-01-02",
"status": "A",
"authorized_official_last_name": "LINDEN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "320-231-2513",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "762528600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "60676LI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.