Active NPI
David Lotzer, D.C.
- Chiropractor
- Moorhead, MN
National Provider Identifier
1427106145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1143
- Practice address
- 213 7TH St S
Moorhead, MN 56560-2740 - Phone
- (218) 233-5141
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1143 | MN | Primary |
Addresses
Primary practice location
213 7TH St S
Moorhead, MN 56560-2740
Mailing address
213 7TH St S
Moorhead, MN 56560-2740
Phone (218) 233-5141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350022212 | Other | MN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060118000012 | MN | Practitioner - Chiropractic | 6709809940 |
Receives reassigned benefits from 1 practitioner Practice locations: Moorhead, MN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
213 7TH St S
Moorhead, MN 56560-2740
Phone (218) 233-5141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Lotzer Moorhead Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Moorhead, MN
- NPI 1235338302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1427106145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 7TH ST S",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565602740",
"telephone_number": "218-233-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 7TH ST S",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565602740",
"telephone_number": "218-233-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTZER",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "1143",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350022212",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moorhead, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.