Active NPI
Healthsource of Minot, LLC
- Chiropractor
- Minot, ND
National Provider Identifier
1194166173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- HEALTHSOURCE OF MINOT, LLC
- Practice address
- 1418 S Broadway
Ste C
Minot, ND 58701 - Phone
- (701) 209-0230
- NPI assigned
- Jul 8, 2013
- Last updated
- Jun 19, 2018
- 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
- Mrs. Crystal J Corrigan
- Title
- Manager
- Phone
- (208) 220-1783
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1418 S Broadway
Ste C
Minot, ND 58701
Mailing address
1418 S Broadway
Ste C
Minot, ND 58701-5933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1418 S Broadway
Ste C
Minot, ND 58701
Phone (701) 209-0230
Practitioners & affiliated clinicians
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.
-
- Chiropractor
- Minot, ND
- NPI 1558890236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529366400000",
"number": "1194166173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 S BROADWAY",
"address_2": "STE C",
"city": "MINOT",
"state": "ND",
"postal_code": "587015933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 S BROADWAY",
"address_2": "STE C",
"city": "MINOT",
"state": "ND",
"postal_code": "58701",
"telephone_number": "701-209-0230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSOURCE OF MINOT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-08",
"last_updated": "2018-06-19",
"status": "A",
"authorized_official_last_name": "CORRIGAN",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "208-220-1783",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.