Organization Active NPI

Dr Adam Fink Family Chiropractic LLC

  • Chiropractor
  • Hutchinson, MN
National Provider Identifier
1326296179
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5095 Issued in MN
Legal business name
DR ADAM FINK FAMILY CHIROPRACTIC LLC
Practice address
1060 Highway 15 S
Hutchinson Mall
Hutchinson, MN 55350-3157
Phone
(320) 234-3584
NPI assigned
Sep 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Damon P Walton
Title
Member
Phone
(217) 854-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5095 MN Primary

Addresses

Primary practice location

1060 Highway 15 S
Hutchinson Mall
Hutchinson, MN 55350-3157

Mailing address

110 E 1St North St
Carlinville, IL 62626-1505
Phone (217) 854-3300

Other identifiers 2

IdentifierTypeStateIssuer
98N95FIOtherMNBLUE CROSS BLUE SHIELD OF MN NON PARTICIPATING GROUP ID
C05054OtherMNMEDICARE GROUP PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081028000576 MN Part B Supplier - Clinic/Group Practice 5496813990 Receives reassigned benefits from 1 practitioner
Practice locations: Hutchinson, MN

National Provider Directory

National Provider Directory

Locations

233 Hassan St SE
Hutchinson, MN 55350
Phone (320) 234-3584

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1326296179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 1ST NORTH ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261505",
            "telephone_number": "217-854-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 HIGHWAY 15 S",
            "address_2": "HUTCHINSON MALL",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553503157",
            "telephone_number": "320-234-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ADAM FINK FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "217-854-3300"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MN NON PARTICIPATING GROUP ID",
            "identifier": "98N95FI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C05054",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.