NPIMap

Organization Active NPI

Deal Family Chiropractic & Wellness Center, P.a.

  • Chiropractor
  • Lake Crystal, MN
National Provider Identifier
1205907722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
261 PROF FIRM Issued in MN
Legal business name
DEAL FAMILY CHIROPRACTIC & WELLNESS CENTER, P.A.
Practice address
201 North Main St.
Lake Crystal, MN 56055-1300
Phone
(507) 726-2091
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Brian Deal, D.C.NPI 1619085784
Title
Director
Phone
(507) 726-2091

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 261 PROF FIRM MN Primary

Addresses

Primary practice location

201 North Main St.
Lake Crystal, MN 56055-1300

Mailing address

PO Box 1300
Lake Crystal, MN 56055-1300
Phone (507) 726-2091

Other identifiers 2

IdentifierTypeStateIssuer
3C199DEOtherMNBCBS CLINIC NUMBER
500228100MedicaidMN

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205907722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "city": "LAKE CRYSTAL",
            "state": "MN",
            "postal_code": "560551300",
            "telephone_number": "507-726-2091",
            "fax_number": "507-726-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NORTH MAIN ST.",
            "city": "LAKE CRYSTAL",
            "state": "MN",
            "postal_code": "560551300",
            "telephone_number": "507-726-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAL FAMILY CHIROPRACTIC & WELLNESS CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEAL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "507-726-2091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "261 PROF FIRM",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC NUMBER",
            "identifier": "3C199DE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500228100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.