Organization Active NPI

Family Chiropractic Office

  • Chiropractor
  • Winnebago, MN
National Provider Identifier
1346594223
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1610 Issued in MN
Legal business name
FAMILY CHIROPRACTIC OFFICE
Practice address
115 1St Ave NW
Winnebago, MN 56098-1015
Phone
(507) 893-4412
Fax
(507) 893-4912
NPI assigned
Oct 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Dr. Kevin Douglas Arndt, D.C.NPI 1720091564
Title
Owner/Chiropractor
Phone
(507) 893-4412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1610 MN Primary

Addresses

Primary practice location

115 1St Ave NW
Winnebago, MN 56098-1015

Mailing address

PO Box 296
Winnebago, MN 56098-0296
Phone (507) 893-4412

Other identifiers 1

IdentifierTypeStateIssuer
401527400MedicaidMN

National Provider Directory

National Provider Directory

Locations

16 Red Bush Ln
Milford, CT 06461
Phone (203) 877-5626

Practitioners & affiliated clinicians

Practitioners 4

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": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1346594223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "WINNEBAGO",
            "state": "MN",
            "postal_code": "560980296",
            "telephone_number": "507-893-4412",
            "fax_number": "507-893-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 1ST AVE NW",
            "city": "WINNEBAGO",
            "state": "MN",
            "postal_code": "560981015",
            "telephone_number": "507-893-4412",
            "fax_number": "507-893-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "ARNDT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "507-893-4412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401527400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnebago, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.