Organization Active NPI

Valkos Chiropractic Office, LLC

  • Clinic/Center
  • Lake City, MN
National Provider Identifier
1194900936
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
002300 Issued in MN
Legal business name
VALKOS CHIROPRACTIC OFFICE, LLC
Practice address
106 S Washington St
Lake City, MN 55041-1034
Phone
(651) 345-2785
Fax
(651) 345-5321
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. David Valkos, D.C.
Title
Chiropractor/ Owner
Phone
(651) 345-2785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 002300 MN Primary

Addresses

Primary practice location

106 S Washington St
Lake City, MN 55041-1034

Mailing address

106 S Washington St
Lake City, MN 55041-1034
Phone (651) 345-2785

Other identifiers 6

IdentifierTypeStateIssuer
3D991VAOtherMNBCBS INDIVIDUAL #
59660VAOtherMNBCBS FACILITY #
381328200MedicaidMN
90144935OtherMNWAUSAU
350053075OtherRAIL ROAD MEDICARE
5668059OtherMNAETNA

National Provider Directory

National Provider Directory

Locations

106 S Washington St
Lake City, MN 55041
Phone (651) 345-2785

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1194900936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S WASHINGTON ST",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550411034",
            "telephone_number": "651-345-2785",
            "fax_number": "651-345-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S WASHINGTON ST",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550411034",
            "telephone_number": "651-345-2785",
            "fax_number": "651-345-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALKOS CHIROPRACTIC OFFICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "VALKOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR/ OWNER",
        "authorized_official_telephone_number": "651-345-2785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "002300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "3D991VA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FACILITY #",
            "identifier": "59660VA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381328200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAUSAU",
            "identifier": "90144935",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "350053075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5668059",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.