Atlas Advantage Chiropractic L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5777 Issued in MN

Legal business name

ATLAS ADVANTAGE CHIROPRACTIC L.L.C.

Practice address

9766 Fallon Ave NE
Suite 104
Monticello, MN 55362-4588

Phone

(320) 309-4316

NPI assigned

Jan 3, 2014

Last updated

Jan 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Eldridge, D.C.

Title

Chief Manager and Owner

Phone

(320) 309-4316

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Jennifer Backes, D.C.

  • Chiropractor
  • Monticello, MN
  • NPI 1437581063
  Medicare reassignment Care Compare group NPD
• Michelle Darlyne McIntee, D.C.

  • Chiropractor
  • Annandale, MN
  • NPI 1568588572
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1255752507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9766 FALLON AVE NE",
            "address_2": "SUITE 104",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553624588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9766 FALLON AVE NE",
            "address_2": "SUITE 104",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553624588",
            "telephone_number": "320-309-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS ADVANTAGE CHIROPRACTIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF MANAGER AND OWNER",
        "authorized_official_telephone_number": "320-309-4316",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Amundson, D.D.S.
• Thea Brink Anderson, R.PH.
• Melissa Andreotti-Revenig, P.A.-C.
• Arthritis Clinic & Medical Associates P.C
• Ashby Optometry PC (Bailey and Associates)
• Ayd & Cavanagh, LLC
• Back 2 Health Chiropractic, P.a.
• Jennifer Backes, D.C.
• Eric Scott Bailey, O.D.
• Barker Family Chiropractic, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.