Individual provider Active NPI

Debra Ann Bobendrier, D.C.

  • Chiropractor
  • Mankato, MN
National Provider Identifier
1295901130
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5048 Issued in MN
Practice address
1601 N Riverfront Dr
Mankato, MN 56001-3258
Phone
(605) 321-2231
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5048 MN Primary

Addresses

Primary practice location

1601 N Riverfront Dr
Mankato, MN 56001-3258

Mailing address

1601 N Riverfront Dr
Mankato, MN 56001-3258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080619000764 MN Practitioner - Chiropractic 7618048588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Open Door Health Center 8 clinicians

Practice addresses (Care Compare)

309 Holly LN
Mankato, MN 56001-5422
Phone (507) 388-2120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Health Center CurrentSince Nov 1, 2023 Accepting new patients
Open Door Health Center CurrentSince Nov 1, 2023 Accepting new patients

Locations

309 Holly Ln
Mankato, MN 56001
Phone (507) 388-2120

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17509/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/26687/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1295901130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N RIVERFRONT DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N RIVERFRONT DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013258",
            "telephone_number": "605-321-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBENDRIER",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.