Individual provider Active NPI

Quentin James Fixen, D.C.

  • Chiropractor
  • Marshall, MN
National Provider Identifier
1295881324
Registry record updated Mar 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4323 Issued in MN
Practice address
104 W Redwood St
Marshall, MN 56258-1853
Phone
(507) 532-2655
Fax
(507) 532-2951
NPI assigned
Jan 25, 2007
Last updated
Mar 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4323 MN Primary

Addresses

Primary practice location

104 W Redwood St
Marshall, MN 56258-1853

Mailing address

104 W Redwood St
Marshall, MN 56258-1853
Phone (507) 532-2655

Other identifiers 1

IdentifierTypeStateIssuer
5907OtherMNLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000972 MN Practitioner - Chiropractic 2769408863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Health Enhancement Centers PAGroup PAC ID 6901956572, 6 clinicians

Practice addresses (Care Compare)

104 W Redwood St
Marshall, MN 56258-1853

104 W Redwood St
Marshall, MN 56258-1980
Phone (507) 532-2655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Enhancement Centers, P.a. Current Accepting new patients
The Health Enhancement Centers, P.a. Chiropractor CurrentSince Jun 1, 2008 Accepting new patients
Preferred Health of Montevideo, P.a. Chiropractor Past Accepting new patients
Preferred Health of Marshall, PA Chiropractor PastSince Dec 1, 2005 Accepting new patients
Prairie Winds Wellness, PLLC PastSince Jul 1, 2010 Accepting new patients
Avera Marshall PastSince Jul 1, 2018 Accepting new patients

Locations

104 W Redwood St
Marshall, MN 56258
Phone (507) 532-2655

104 W Redwood St
Ste 4
Marshall, MN 56258

202 E 1st St
Minneota, MN 56264
Phone (507) 532-2655

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera Tyler HospitalTyler, MN, CCN 24Z348 Hospital Corporate Director Jul 1, 2018
Avera Marshall Regional Medical CenterMarshall, MN, CCN 24M359 Hospital Corporate Director Jul 1, 2018
Avera Medical Group TylerTyler, MN, CCN 243413 Rural health clinic Corporate Director Jul 1, 2018
Avera Medical Group TylerLake Benton, MN, CCN 243470 Rural health clinic Corporate Director Jul 1, 2018

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458950400000",
    "number": "1295881324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W REDWOOD ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581853",
            "telephone_number": "507-532-2655",
            "fax_number": "507-532-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W REDWOOD ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581853",
            "telephone_number": "507-532-2655",
            "fax_number": "507-532-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIXEN",
        "first_name": "QUENTIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5907",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

Verify at the official NPI Registry.