NPIMap

Organization Active NPI

Legacy Family Chiropractic, LLC

  • Chiropractor
  • Waite Park, MN
National Provider Identifier
1205183050
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LEGACY FAMILY CHIROPRACTIC, LLC
Practice address
171 7TH Ave S
Waite Park, MN 56387-1362
Phone
(320) 774-1013
Fax
(320) 774-1016
NPI assigned
Aug 11, 2012
Last updated
Mar 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Dr. Evan Eigen, D.C.NPI 1851648604
Title
Owner
Phone
(320) 774-1013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

171 7TH Ave S
Waite Park, MN 56387-1362

Mailing address

171 7TH Ave S
Waite Park, MN 56387-1362
Phone (320) 774-1013

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1344643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1205183050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 7TH AVE S",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871362",
            "telephone_number": "320-774-1013",
            "fax_number": "320-774-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 7TH AVE S",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871362",
            "telephone_number": "320-774-1013",
            "fax_number": "320-774-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-11",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "EIGEN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-774-1013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waite Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.