Active NPI
Complete Chiropractic Inc
- Chiropractor
- Dundas, MN
National Provider Identifier
1225218282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4075
- Legal business name
- COMPLETE CHIROPRACTIC INC
- Practice address
- 303 Hester St W
Dundas, MN 55019-3970 - Phone
- (507) 645-0333
- NPI assigned
- Nov 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Grant Louis Modory, D.C.
- Title
- Chiropractor
- Phone
- (507) 645-3176
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4075 | MN | Primary |
Addresses
Primary practice location
303 Hester St W
Dundas, MN 55019-3970
Mailing address
303 Hester St W
Dundas, MN 55019-3970
Phone (507) 645-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050915000342 | MN | Part B Supplier - Clinic/Group Practice | 1456384973 |
Receives reassigned benefits from 1 practitioner Practice locations: Dundas, MN |
National Provider Directory
National Provider DirectoryLocations
303 Hester St W
Dundas, MN 55019
Phone (507) 645-0333
708 Schilling Dr N
#5
Dundas, MN 55019
Phone (507) 645-0333
Practitioners & affiliated clinicians
Practitioners 1
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": "1194393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194393600000",
"number": "1225218282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 HESTER ST W",
"city": "DUNDAS",
"state": "MN",
"postal_code": "550193970",
"telephone_number": "507-645-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 HESTER ST W",
"city": "DUNDAS",
"state": "MN",
"postal_code": "550193970",
"telephone_number": "507-645-0333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-07",
"last_updated": "2007-11-07",
"status": "A",
"authorized_official_last_name": "MODORY",
"authorized_official_first_name": "GRANT",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "507-645-3176",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "4075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dundas, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.