Comfort Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5153 Issued in MN

Legal business name

COMFORT CHIROPRACTIC PLLC

Practice address

124 Lake St S
Long Prairie, MN 56347-1681

Phone

(320) 732-3383

NPI assigned

Dec 22, 2014

Last updated

Mar 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David HetlandNPI 1740435684

Title

D.C.

Phone

(320) 760-0487

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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.

• David D Hetland, D.C.

  • Chiropractor
  • Sauk Centre, MN
  • NPI 1740435684
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1154719300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LAKE ST S",
            "city": "LONG PRAIRIE",
            "state": "MN",
            "postal_code": "563471681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LAKE ST S",
            "city": "LONG PRAIRIE",
            "state": "MN",
            "postal_code": "563471681",
            "telephone_number": "320-732-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "HETLAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "D.C.",
        "authorized_official_telephone_number": "320-760-0487"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Long Prairie, MN
• Providers in Long Prairie, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.