Active NPI
TLC Chiropractic, PLC
- Chiropractor
- Virginia, MN
National Provider Identifier
1295122760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5857
- Legal business name
- TLC CHIROPRACTIC, PLC
- Practice address
- 310 S 2ND Ave
Virginia, MN 55792-2616 - Phone
- (218) 741-3402
- NPI assigned
- Apr 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tawnee Croteau, D.C.
- Title
- Chiropractor
- Phone
- (218) 750-0760
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5857 | MN | Primary |
Addresses
Primary practice location
310 S 2ND Ave
Virginia, MN 55792-2616
Mailing address
310 S 2ND Ave
Virginia, MN 55792-2616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8355 Unity Dr
Ste 300
Virginia, MN 55792
Phone (218) 248-8472
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Little Falls, MN
- NPI 1639595598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429660800000",
"number": "1295122760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 S 2ND AVE",
"city": "VIRGINIA",
"state": "MN",
"postal_code": "557922616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S 2ND AVE",
"city": "VIRGINIA",
"state": "MN",
"postal_code": "557922616",
"telephone_number": "218-741-3402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLC CHIROPRACTIC, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-22",
"last_updated": "2015-04-22",
"status": "A",
"authorized_official_last_name": "CROTEAU",
"authorized_official_first_name": "TAWNEE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "218-750-0760",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "5857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.