Organization Active NPI

Mairs Chiropractic Inc

Doing business as Precision Chiropractic and Wellness

  • Chiropractor
  • Waseca, MN
National Provider Identifier
1386922250
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3787 Issued in MN
Legal business name
MAIRS CHIROPRACTIC INC
Doing business as
Precision Chiropractic and Wellness
Practice address
104 22ND Ave NE Ste 1
Waseca, MN 56093-2641
Phone
(507) 835-1600
Fax
(507) 835-1609
NPI assigned
Jul 26, 2011
Last updated
May 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Dr. Ryan Jason Mairs, D.C.NPI 1245215623
Title
Owner
Phone
(612) 845-8536

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
Chiropractor 111N00000X 3787 MN Primary

Addresses

Primary practice location

104 22ND Ave NE Ste 1
Waseca, MN 56093-2641

Mailing address

104 22ND Ave NE Ste 1
Waseca, MN 56093-2641
Phone (507) 835-1600

Other names 1

  • Precision Chiropractic and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110823000979 MN Part B Supplier - Clinic/Group Practice 7719157098 Receives reassigned benefits from 2 practitioners
Practice locations: Waseca, MN

National Provider Directory

National Provider Directory

Locations

104 22nd Ave NE
Ste 1
Waseca, MN 56093
Phone (507) 835-1600

1800 State St N
Ste A
Waseca, MN 56093
Phone (507) 835-1600

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1386922250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 22ND AVE NE STE 1",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932641",
            "telephone_number": "507-835-1600",
            "fax_number": "507-835-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 22ND AVE NE STE 1",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932641",
            "telephone_number": "507-835-1600",
            "fax_number": "507-835-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIRS CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "MAIRS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-845-8536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waseca, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.