Active NPI
Mark F Lavallie, D.C., D.A.B.C.O.
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1477581742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 00-1753
- Practice address
- 261 Ruth St N
Saint Paul, MN 55119-4337 - Phone
- (651) 714-4848
- Fax
- (651) 739-8452
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 00-1753 | MN | Primary |
Addresses
Primary practice location
261 Ruth St N
Saint Paul, MN 55119-4337
Mailing address
PO Box 280337
Saint Paul, MN 55128-9337
Phone (651) 432-3806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050315000468 | MN | Practitioner - Chiropractic | 1850346685 | Practice locations: Saint Paul, MN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
261 Ruth St N
Saint Paul, MN 55119-4337
Phone (651) 714-4848
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00-1753 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belde Chiropractic Clinic, PA | Chiropractor | Past | Accepting new patients |
| IHS of Woodbury, P.a. | Chiropractor | Past | Accepting new patients |
| IHS Midwest PC | Chiropractor | Past | Accepting new patients |
| Midway Healthcare Services PA | Chiropractor | Past | Accepting new patients |
| Mark F. Lavallie, D.C. | Chiropractor | Past | Accepting new patients |
| IHS of Woodbury PA | Chiropractor | Past | Accepting new patients |
Organizations & group practices 6
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.
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- Chiropractor
- Saint Paul, MN
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- NPI 1437295532
-
- Chiropractor
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- NPI 1588600043
-
- Chiropractor
- Saint Paul, MN
- NPI 1629477013
-
- Chiropractor
- Saint Paul, MN
- NPI 1205145273
-
- Chiropractor
- Saint Paul, MN
- NPI 1841204534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477581742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 280337",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551289337",
"telephone_number": "651-432-3806",
"fax_number": "651-739-6029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 RUTH ST N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551194337",
"telephone_number": "651-714-4848",
"fax_number": "651-739-8452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVALLIE",
"first_name": "MARK",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.C., D.A.B.C.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "00-1753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.