David Alan Verworn, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2515 Issued in MN

Practice address

203 State Ave S
Warroad, MN 56763

Phone

(218) 386-3112

Fax

(218) 386-2028

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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 MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Warroad Chiropractic Clinic, P.a.

  • Chiropractor
  • Warroad, MN
  • NPI 1053613067
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164564159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "WARROAD",
            "state": "MN",
            "postal_code": "567630636",
            "telephone_number": "218-386-3112",
            "fax_number": "218-386-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 STATE AVE S",
            "city": "WARROAD",
            "state": "MN",
            "postal_code": "56763",
            "telephone_number": "218-386-3112",
            "fax_number": "218-386-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERWORN",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ernest Thiele, DDS
• James R. Thompson, PHARM D
• Thrifty Drug Stores Inc
• Up North Physical Therapy
• Up North Physical Therapy, LLC
• Warroad Care Center, Inc.
• Warroad Chiropractic Clinic, P.a.
• Warroad Family Dentistry, LTD
• Warroad Heritage Inc
• Warroad School District

• All providers in Warroad, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.