NPIMap

Organization Active NPI

David Lotzer Moorhead Chiropractic Clinic

  • Chiropractor
  • Moorhead, MN
National Provider Identifier
1235338302
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2725 Issued in MN
Legal business name
DAVID LOTZER MOORHEAD CHIROPRACTIC CLINIC
Practice address
213 7TH St S
Moorhead, MN 56560-2740
Phone
(218) 233-5141
NPI assigned
Jul 17, 2007
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Jeffrey Charles Lotzer, D.C.NPI 1699832600
Title
Doctor
Phone
(218) 233-5141

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2725 MN Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1143 MN

Addresses

Primary practice location

213 7TH St S
Moorhead, MN 56560-2740

Mailing address

213 7TH St S
Moorhead, MN 56560-2740
Phone (218) 233-5141

Other names 1

  • Moorhead Chiropractic Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

213 7th St S
Moorhead, MN 56560
Phone (218) 233-5141

Practitioners & affiliated clinicians

Practitioners 2

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": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1235338302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 7TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602740",
            "telephone_number": "218-233-5141",
            "fax_number": "218-233-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 7TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602740",
            "telephone_number": "218-233-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LOTZER MOORHEAD CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "LOTZER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "218-233-5141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2725",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moorhead Chiropractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.