Organization Active NPI

Ignite Chiropractic PC

Doing business as Your Family Healthcare

  • Health Service Clinic/Center
  • Plainview, MN
National Provider Identifier
1164967758
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
6029 Issued in MN
Legal business name
IGNITE CHIROPRACTIC PC
Doing business as
Your Family Healthcare
Practice address
323 W Broadway
Plainview, MN 55964-1255
Phone
(507) 534-2600
Fax
(507) 534-4373
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Dr. Melissa Sue Nevsimal, D.C.NPI 1598154726
Title
Doctor of Chiropractic
Phone
(507) 251-0704

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 6029 MN Primary

Addresses

Primary practice location

323 W Broadway
Plainview, MN 55964-1255

Mailing address

323 W Broadway
Plainview, MN 55964-1255
Phone (507) 534-2600

Other names 1

  • Your Family Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170213001983 MN Part B Supplier - Clinic/Group Practice 6507149747 Receives reassigned benefits from 2 practitioners
Practice locations: Plainview, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1164967758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W BROADWAY",
            "city": "PLAINVIEW",
            "state": "MN",
            "postal_code": "559641255",
            "telephone_number": "507-534-2600",
            "fax_number": "507-534-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W BROADWAY",
            "city": "PLAINVIEW",
            "state": "MN",
            "postal_code": "559641255",
            "telephone_number": "507-534-2600",
            "fax_number": "507-534-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "NEVSIMAL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "507-251-0704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "6029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.