Christopher Allen Dockter, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003433 Issued in MN

Practice address

805 2ND St SE
Pine City, MN 55063-2101

Phone

(320) 629-6717

Fax

(320) 629-6718

NPI assigned

Aug 12, 2005

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dockter - Lutz Chiropractic, LLC

  dba Pine City Family Chiropractic

  • Chiropractor
  • Circle Pines, MN
  • NPI 1093816258
  Medicare reassignment NPD
• Bodywise Chiropractic Center

  • Chiropractor
  • Elk River, MN
  • NPI 1699809756
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205838869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CIVIC HEIGHTS DR",
            "address_2": "STE 108",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550144711",
            "telephone_number": "763-795-8300",
            "fax_number": "763-795-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 2ND ST SE",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550632101",
            "telephone_number": "320-629-6717",
            "fax_number": "320-629-6718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19332 Highway 169",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553304645",
            "country_code": "US",
            "telephone_number": "763-441-7788",
            "fax_number": "763-441-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCKTER",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003433",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "00403",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306317800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1990925",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "610060O",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Pine (Pine County Health and Human Services)
• Bryan Cropper, DOCTOR OF PHARMACY
• Jon E Cruz, DDS
• Clay Macklin Danielson, D.C.
• Mitchell Lee Demers, MSW, LICSW
• Dr. Shirola & Associates, Optometrists P.a.
• McKayla Rose Duesler, PHARMD
• Joseph Dvorak, PHARMD
• Scott Robert Emmons, LP
• Empower Recovery Services LLC

• Chiropractor in Pine City, MN
• Providers in Pine City, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.