Organization Active NPI

Chiropractic Health Service PA

  • Chiropractor
  • Owatonna, MN
National Provider Identifier
1487759684
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
23 Issued in MN
Legal business name
CHIROPRACTIC HEALTH SERVICE PA
Practice address
207 W Holly St
Owatonna, MN 55060-3959
Phone
(507) 451-1654
Fax
(507) 451-1655
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Dr. Lyle Charles Coleman, D.C., DIBCN
Title
President
Phone
(507) 451-1654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 23 MN Primary

Addresses

Primary practice location

207 W Holly St
Owatonna, MN 55060-3959

Mailing address

207 W Holly St
Owatonna, MN 55060-3959
Phone (507) 451-1654

Other identifiers 1

IdentifierTypeStateIssuer
35034CHOtherMNBLUE CROSS OFFICE NUMBER

National Provider Directory

National Provider Directory

Locations

207 W Holly St
Owatonna, MN 55060
Phone (507) 390-0229

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1487759684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W HOLLY ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603959",
            "telephone_number": "507-451-1654",
            "fax_number": "507-451-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W HOLLY ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603959",
            "telephone_number": "507-451-1654",
            "fax_number": "507-451-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH SERVICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-451-1654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., DIBCN"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OFFICE NUMBER",
            "identifier": "35034CH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.