Individual provider Active NPI

Deborah Kay Montzka, D.C.

  • Chiropractor
  • Park Rapids, MN
National Provider Identifier
1194836718
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003204 Issued in MN
Practice address
1202 1St St E
Park Rapids, MN 56470-1849
Phone
(218) 237-3771
Fax
(218) 237-2311
NPI assigned
Aug 31, 2006
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 003204 MN Primary

Addresses

Primary practice location

1202 1St St E
Park Rapids, MN 56470-1849

Mailing address

PO Box 7
Park Rapids, MN 56470-0007
Phone (218) 237-3771

Other identifiers 2

IdentifierTypeStateIssuer
384823000OtherMNMEDICAL ASSISTANCE
03063HEOtherMNBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000826 MN Practitioner - Chiropractic 6305895129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Center of Natural Healing PLLCGroup PAC ID 2668622671, 2 clinicians

Practice addresses (Care Compare)

1202 1St SE E
Park Rapids, MN 56470-1849
Phone (218) 237-3771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003204MNMDChiropractor
3204MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Center of Natural Healing, PLLC Chiropractor CurrentSince Jan 25, 1995 Accepting new patients

Locations

1202 1st St E
Park Rapids, MN 56470
Phone (218) 237-3771

17261 State 34
Park Rapids, MN 56470
Phone (218) 237-0066

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1194836718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564700007",
            "telephone_number": "218-237-3771",
            "fax_number": "218-237-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 1ST ST E",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701849",
            "telephone_number": "218-237-3771",
            "fax_number": "218-237-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTZKA",
        "first_name": "DEBORAH",
        "middle_name": "KAY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "384823000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03063HE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.