Brian Mark Devitt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3842 Issued in MN

Practice address

14033 Commerce Ave NE Ste 300-401
Prior Lake, MN 55372-1438

Phone

(763) 694-1974

NPI assigned

Jun 29, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Align Health & Wellness PA

  • Rehabilitation Chiropractor
  • Long Lake, MN
  • NPI 1497175467
  NPD (past)
• Chiropractic First

  • Rehabilitation Chiropractor
  • Long Lake, MN
  • NPI 1376721878
  NPD (past)

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1306074349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14033 COMMERCE AVE NE STE 300-401",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721438",
            "telephone_number": "763-694-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14033 COMMERCE AVE NE STE 300-401",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721438",
            "telephone_number": "763-694-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVITT",
        "first_name": "BRIAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MN",
            "license": "3842",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlene Therese Daley, COTA/L
• Erika Marie Davis, LMFT
• Lisa Anne Dawson-Clausen, O.D.
• DDS House Call, PLLC
• Deswil Medical Group PLLC
• Naa Yemoley Dodoo
• Domier Chiropractic, PLLC
• Brittany Ann Domier, D.C.
• Dr. Howard E. Olson PA
• Lauren Drilling, L.AC

• Chiropractor in Prior Lake, MN
• Providers in Prior Lake, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.