Nicholas Michael Mitchell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6243 Issued in MN

Practice address

101 Coney St W
Perham, MN 56573-2117

Phone

(218) 346-2225

Fax

(218) 346-5128

NPI assigned

Mar 9, 2015

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 MN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aim Chiropractic PC

  • Chiropractor
  • Perham, MN
  • NPI 1841703014
  Medicare reassignment NPD
• Dr. Kelvin K. Salathe, P.C.

  • Chiropractor
  • Perham, MN
  • NPI 1730239385
  NPD (past)

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1164815577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CONEY ST W",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565732117",
            "telephone_number": "218-346-2225",
            "fax_number": "218-346-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CONEY ST W",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565732117",
            "telephone_number": "218-346-2225",
            "fax_number": "218-346-5128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1324 S Park St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490012735",
            "country_code": "US",
            "telephone_number": "269-381-2800",
            "fax_number": "269-381-2808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "NICHOLAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Larae Melideo-Fitch
• Michael L Hamann DDS PA
• Minnesota Eyecare Network Inc.
• Minnesota Eyecare Network, Inc
• Carissa Marie Mitchell, D.C.
• Lisa Moe
• Elijah Morris
• Anna Claire McCusker Nein, PHARMD
• Timothy Charles Neitzke, OD
• Shyla Netland

• Chiropractor in Perham, MN
• Providers in Perham, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.