Paynesville Chiropractic Clinic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3023 Issued in MN

Legal business name

PAYNESVILLE CHIROPRACTIC CLINIC, P.A.

Practice address

319 E Highway 55
Paynesville, MN 56362-2047

Phone

(320) 243-7551

Fax

(320) 243-7571

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Pauline Greguson-Puppe, D.C.NPI 1467461517

Title

Owner

Phone

(320) 243-7551

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Pauline Greguson-Puppe, D.C.

  • Chiropractor
  • Paynesville, MN
  • NPI 1467461517
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1235150905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 E HIGHWAY 55",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563622047",
            "telephone_number": "320-243-7551",
            "fax_number": "320-243-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E HIGHWAY 55",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563622047",
            "telephone_number": "320-243-7551",
            "fax_number": "320-243-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNESVILLE CHIROPRACTIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "GREGUSON-PUPPE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "PAULINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-243-7551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "548228300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC ID",
            "identifier": "3C021GR",
            "state": "FM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paynesville Area Hospital District
• Paynesville Area Hospital District
• Paynesville Area Hospital District
• Paynesville Area Hospital District
• Paynesville Area Living at Home Block Nurse Program
• Paynesville Family Dental
• Pedi-Care, Inc
• Jane Marie Peterson, MD
• Proactive Rehab and Wellness, LLC
• Thakul None Rattanasuwan, PHARMD

• Chiropractor in Paynesville, MN
• Providers in Paynesville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.