Organization Active NPI

Saggau Chiropractic Clinic, LTD.

  • Clinic/Center
  • Mankato, MN
National Provider Identifier
1477879716
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3317 Issued in MN
Legal business name
SAGGAU CHIROPRACTIC CLINIC, LTD.
Practice address
83 Navaho Ave
#26
Mankato, MN 56001-4832
Phone
(507) 625-9060
Fax
(507) 625-2350
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Dr. Richard Andrew Saggau, D.C.NPI 1972683415
Title
Owner
Phone
(507) 625-9060

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
Clinic/Center 261Q00000X 3317 MN Primary

Addresses

Primary practice location

83 Navaho Ave
#26
Mankato, MN 56001-4832

Mailing address

83 Navaho Ave
#26
Mankato, MN 56001-4832
Phone (507) 625-9060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100420000402 MN Part B Supplier - Clinic/Group Practice 2062549249 Receives reassigned benefits from 1 practitioner
Practice locations: Mankato, MN

National Provider Directory

National Provider Directory

Locations

83 Navaho Ave
Ste 26
Mankato, MN 56001
Phone (507) 625-9060

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1477879716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 NAVAHO AVE",
            "address_2": "#26",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014832",
            "telephone_number": "507-625-9060",
            "fax_number": "507-625-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 NAVAHO AVE",
            "address_2": "#26",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014832",
            "telephone_number": "507-625-9060",
            "fax_number": "507-625-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGGAU CHIROPRACTIC CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "SAGGAU",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-625-9060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "3317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.