Medelberg Family Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3062 Issued in MN

Legal business name

MEDELBERG FAMILY CHIROPRACTIC, P.A.

Practice address

710 County Road 75
Suite 103
Saint Joseph, MN 56374-8648

Phone

(320) 271-1800

Fax

(320) 271-1808

NPI assigned

May 23, 2008

Last updated

May 23, 2008By 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

Dr. Eric Joseph Medelberg, D.C.NPI 1487705190

Title

President

Phone

(320) 271-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Eric Joseph Medelberg, D.C.

  • Chiropractor
  • Saint Joseph, MN
  • NPI 1487705190
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1366600629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 COUNTY ROAD 75",
            "address_2": "SUITE 103",
            "city": "SAINT JOSEPH",
            "state": "MN",
            "postal_code": "563748648",
            "telephone_number": "320-271-1800",
            "fax_number": "320-271-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 COUNTY ROAD 75",
            "address_2": "SUITE 103",
            "city": "SAINT JOSEPH",
            "state": "MN",
            "postal_code": "563748648",
            "telephone_number": "320-271-1800",
            "fax_number": "320-271-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDELBERG FAMILY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "MEDELBERG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-271-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309313100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Larcom
• Jennie Joy Lewis, C.M.T.
• Alexa Jo Loxtercamp
• Patricia Ann Martini, MA LP
• Sheryl Lynn Matters, LMT
• Eric Joseph Medelberg, D.C.
• Chase Jon Meyers, CNP
• Kelsey Milbert
• Derek Brian Moore, RN
• Thomas John Newton, MD

• Chiropractor in Saint Joseph, MN
• Providers in Saint Joseph, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.