Broadway Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3154 Issued in MN

Legal business name

BROADWAY CHIROPRACTIC PA

Practice address

1510 N Broadway St
New Ulm, MN 56073-1235

Phone

(507) 359-4374

Fax

(507) 359-4686

NPI assigned

Dec 4, 2006

Last updated

Jun 12, 2012By 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

Frederic Falentin, DCNPI 1144306499

Title

President

Phone

(507) 359-4374

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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.

• Frederic Falentin, DC

  • Chiropractor
  • New Ulm, MN
  • NPI 1144306499
  Medicare reassignment Care Compare group NPD Authorized official
• Tyler Walls, DC

  • Chiropractor
  • New Ulm, MN
  • NPI 1457174211
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1407924681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 N BROADWAY ST",
            "address_2": "P.O. BOX 533",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560731235",
            "telephone_number": "507-359-4374",
            "fax_number": "507-359-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 N BROADWAY ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560731235",
            "telephone_number": "507-359-4374",
            "fax_number": "507-359-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "FALENTIN",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-359-4374",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "269K6FA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Boettger, MA, LPCC
• Megan Jean Bolduan, OTR/L
• Taylor Autumn Booth
• Laura Elizabeth Boraas, PT, DPT
• Lukas Borgwardt, OD
• Brown County Evaluation Center Inc
• Brown County Family Services
• Brown-Nicollet CHS
• John Brownfield, D.D.S
• Angela Marie Brueske

• Chiropractor in New Ulm, MN
• Providers in New Ulm, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.