Afton Chiropractic Clinic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

AFTON CHIROPRACTIC CLINIC PA

Practice address

44 Saint Croix TRL S
Suite 200
Lakeland, MN 55043-8404

Phone

(651) 436-7757

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Tamie Q Caulder, D.C.

Title

President

Phone

(651) 436-7757

Specialties & licenses 2

Addresses

Other identifiers 6

Locations

Practitioners 1

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.

• Jodie Lea Eian, D.C.

  • Chiropractor
  • Lakeland, MN
  • NPI 1881783314
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1306040381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SAINT CROIX TRL S",
            "address_2": "SUITE 200",
            "city": "LAKELAND",
            "state": "MN",
            "postal_code": "550438404",
            "telephone_number": "651-436-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SAINT CROIX TRL S",
            "address_2": "SUITE 200",
            "city": "LAKELAND",
            "state": "MN",
            "postal_code": "550438404",
            "telephone_number": "651-436-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFTON CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "CAULDER",
        "authorized_official_first_name": "TAMIE",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-436-7757",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "98D84QU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BADGERCARE",
            "identifier": "38963000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200967600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "97G19CA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "618323900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BADGERCARE",
            "identifier": "38962900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adena LLC
• Advanced Medical LLC
• Afton Chiropractic Clinic
• Oluwadamilola Omodele Ajagbe, DDS
• Alexander John Buechter, DC
• Jodie Lea Eian, D.C.
• Robin Lee Fate, M.S., LPCC
• Rosann Marie Froehle, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.