Fairmont Chiropractic & Acupuncture Healthcare, LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2034 Issued in MN

Legal business name

FAIRMONT CHIROPRACTIC & ACUPUNCTURE HEALTHCARE, LTD

Practice address

1125 Spruce St
Fairmont, MN 56031-4410

Phone

(507) 235-6629

Fax

(507) 235-6620

NPI assigned

Jul 19, 2007

Last updated

Aug 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol E Olson

Title

Receptionist

Phone

(507) 235-6629

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Timothy J Hamp, DC FASA

  • Chiropractor
  • Fairmont, MN
  • NPI 1649239161
  Medicare reassignment NPD

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1316147200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 SPRUCE ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314410",
            "telephone_number": "507-235-6629",
            "fax_number": "507-235-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SPRUCE ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314410",
            "telephone_number": "507-235-6629",
            "fax_number": "507-235-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT CHIROPRACTIC & ACUPUNCTURE HEALTHCARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "507-235-6629"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2034",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartlett Eriksen, M.D.
• Lisa Marie Ertman, CNP
• Luke K Espelund, MD
• Eunoia Family Resource Center PA
• Alisa Sarah Eytcheson, NP-C
• Fairmont Dental Professionals LLC
• Fairmont Family Dentistry, PA
• Fairmont Orthopedics & Sports Medicine P a (Center for Specialty Care)
• Fairmont Orthopedics & Sports Medicine, PA (Center for Specialty Care)
• Fairmont Orthopedics & Sports Medicine, PA (Center for Specialty Care)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.

Verify at the official NPI Registry.