Organization Active NPI

Tubbs Chiropractic, P.a.

  • Chiropractor
  • Albert Lea, MN
National Provider Identifier
1245561729
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TUBBS CHIROPRACTIC, P.A.
Practice address
226 W Clark St
Albert Lea, MN 56007-2548
Phone
(507) 369-5601
Fax
(507) 369-5602
NPI assigned
Jan 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Dr. Matthew Michael Tubbs, D.C.NPI 1982935557
Title
Owner
Phone
(507) 369-5601

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

226 W Clark St
Albert Lea, MN 56007-2548

Mailing address

226 W Clark St
Albert Lea, MN 56007-2548
Phone (507) 369-5601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100305000346 MN Part B Supplier - Clinic/Group Practice 4284779976 Receives reassigned benefits from 1 practitioner
Practice locations: Albert Lea, MN

National Provider Directory

National Provider Directory

Locations

1608 W Fountain St
Albert Lea, MN 56007
Phone (507) 369-5601

226 W Clark St
Albert Lea, MN 56007
Phone (507) 369-5601

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": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1245561729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W CLARK ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072548",
            "telephone_number": "507-369-5601",
            "fax_number": "507-369-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 W CLARK ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072548",
            "telephone_number": "507-369-5601",
            "fax_number": "507-369-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUBBS CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "TUBBS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-369-5601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albert Lea, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.