Rebrovich and Whalen Chiropractic, LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

478 Issued in MN

Legal business name

REBROVICH AND WHALEN CHIROPRACTIC, LTD.

Doing business as

Ideal Health, A Sports & Family Chiropractic Clinic

Practice address

18336 Joplin St NW
Elk River, MN 55330-1773

Phone

(763) 441-0999

Fax

(763) 441-3888

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Lynn Rebrovich, D.C.NPI 1336295070

Title

President

Phone

(763) 441-0999

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ideal Health, A Sports & Family Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Lynn Rebrovich, D.C.

  • Chiropractor
  • Elk River, MN
  • NPI 1336295070
  Medicare reassignment Care Compare group NPD Authorized official
• Thomas Dewall, D.C.

  • Chiropractor
  • Elk River, MN
  • NPI 1548202591
  Medicare reassignment Care Compare group NPD
• Laura Colleen Dockendorf, DC

  • Chiropractor
  • Elk River, MN
  • NPI 1952062085
  Medicare reassignment Care Compare group NPD
• Jeremy Frank Rebrovich, D.C.

  • Chiropractor
  • Elk River, MN
  • NPI 1417003328
  Medicare reassignment Care Compare group NPD
• Brian Allen Rumpza

  • Massage Therapist
  • Elk River, MN
  • NPI 1407700107
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457407116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18336 JOPLIN ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301773",
            "telephone_number": "763-441-0999",
            "fax_number": "763-441-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18336 JOPLIN ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301773",
            "telephone_number": "763-441-0999",
            "fax_number": "763-441-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBROVICH AND WHALEN CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REBROVICH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-441-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49D93ID",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Health, A Sports & Family Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Puffe, PHARMD
• Perkaloah Amanda Queeglay-Tarpeh, RN
• William H Rabe, MD
• Michael Harold Rafferty, D.C.
• Kelly Jean Rawlings
• Jeremy Frank Rebrovich, D.C.
• Sandra Lynn Rebrovich, D.C.
• Regroup Counseling and Consulting PSC
• Courtney E Reinitz, MSW, LICSW
• Rescare Minnesota

• Chiropractor in Elk River, MN
• Providers in Elk River, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.