Organization Active NPI

Mora Chiropractic Clinic P.C.

  • Chiropractor
  • Mora, MN
National Provider Identifier
1376620013
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1355 Issued in MN
Legal business name
MORA CHIROPRACTIC CLINIC P.C.
Practice address
114 W Maple Ave
Mora, MN 55051
Phone
(320) 679-1133
Fax
(320) 679-1134
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
David Lee Klapemeier, DOCTOR OF CHIROPRACT
Title
Owner
Phone
(320) 679-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1355 MN Primary

Addresses

Primary practice location

114 W Maple Ave
Mora, MN 55051

Mailing address

114 W Maple Ave
Mora, MN 55051
Phone (320) 679-1133

Other identifiers 1

IdentifierTypeStateIssuer
MA538725600MedicaidMN

National Provider Directory

National Provider Directory

Locations

114 Maple Ave W
Ste 1
Mora, MN 55051
Phone (320) 679-1133

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1376620013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W MAPLE AVE",
            "city": "MORA",
            "state": "MN",
            "postal_code": "55051",
            "telephone_number": "320-679-1133",
            "fax_number": "320-679-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W MAPLE AVE",
            "city": "MORA",
            "state": "MN",
            "postal_code": "55051",
            "telephone_number": "320-679-1133",
            "fax_number": "320-679-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORA CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "KLAPEMEIER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-679-1133",
        "authorized_official_credential": "DOCTOR OF CHIROPRACT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MA538725600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mora, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.