Michael Lavern Maristuen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4409 Issued in MN

Practice address

2216 County Road D W
Suite B
Saint Paul, MN 55112-7500

Phone

(651) 639-1066

Fax

(651) 639-1069

NPI assigned

May 16, 2007

Last updated

Aug 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael L. Maristuen D.C., P.a.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1790981538
  Medicare reassignment NPD Authorized official
• New Brighton Chiropractic Clinic, P.a.

  • Chiropractor
  • New Brighton, MN
  • NPI 1518963768
  NPD

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1235346784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 COUNTY ROAD D W",
            "address_2": "SUITE B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551127500",
            "telephone_number": "651-639-1066",
            "fax_number": "651-639-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 COUNTY ROAD D W",
            "address_2": "SUITE B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551127500",
            "telephone_number": "651-639-1066",
            "fax_number": "651-639-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARISTUEN",
        "first_name": "MICHAEL",
        "middle_name": "LAVERN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "318G5SP",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Joy Marienau, M.D., MPH
• Michael Marier
• Mariken Wogstad-Hansen, PHD, LLC
• Mariken Wogstad-Hansen, PHD, LLC
• John J Marini, MD
• Mitchell Dale Maristuen, D.C
• Mark F. Lavallie, D.C.
• Mark I. Malterud, D.D.S., P.a.
• Susan L Mark, M.D.
• Jennifer Ann Marker Johnson, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.