Crossroads Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2457 Issued in MN

Legal business name

CROSSROADS CHIROPRACTIC CLINIC

Practice address

4544 County Road 134
Suite B
Saint Cloud, MN 56303-4813

Phone

(320) 252-3711

NPI assigned

Jan 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Ann Holien

Title

Office Manager

Phone

(320) 252-1167

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 6

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.

• Tammy K Dickinson, D.C.

  • Chiropractor
  • Sartell, MN
  • NPI 1548209265
  Medicare reassignment Care Compare group NPD
• Eric Michael Oltmanns, D.C.

  • Chiropractor
  • Saint Cloud, MN
  • NPI 1356683114
  Medicare reassignment Care Compare group NPD
• Jeffrey John Varner, DC

  • Chiropractor
  • Saint Cloud, MN
  • NPI 1639266109
  Medicare reassignment Care Compare group NPD
• Chad F Spaulding, D.C.

  • Chiropractor
  • Sartell, MN
  • NPI 1821083957
  NPD (past)
• Eric Stroh, D.C.

  • Chiropractor
  • Anoka, MN
  • NPI 1245572841
  NPD (past)
• Jaclyn Merry Bergstrom, D.C

  • Chiropractor
  • Portland, OR
  • NPI 1598715336
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215080940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4544 COUNTY ROAD 134",
            "address_2": "SUITE B",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034813",
            "telephone_number": "320-252-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4544 COUNTY ROAD 134",
            "address_2": "SUITE B",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034813",
            "telephone_number": "320-252-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLIEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "320-252-1167"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2457",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2974",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Criterion Counseling PLLC (Criterion Counseling)
• Jessica Cron, BSN, RN
• Erica Savage Crook, PA-C
• Ashley Crooks
• Britta Kay Crooks
• Crow River Family Services LLC
• Bethany Croyle
• Jarrett Crue, RN
• Anne Elizabeth Cullen, PA-C
• Culture Bound Mental Health Services LLC

• Chiropractor in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Chiropractor in Minnesota

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.