NPIMap

Organization Active NPI

Noble Chiropractic Clinic PA

  • Chiropractor
  • Northfield, MN
National Provider Identifier
1487789186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3299 Issued in MN
Legal business name
NOBLE CHIROPRACTIC CLINIC PA
Practice address
205 Division St S
Northfield, MN 55057
Phone
(507) 645-8242
Fax
(507) 645-8242
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leanne Margaret Noble, DCNPI 1962537662
Title
Chiropractor Owner
Phone
(507) 645-8242

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3299 MN Primary

Addresses

Primary practice location

205 Division St S
Northfield, MN 55057

Mailing address

205 Division St S
Northfield, MN 55057
Phone (507) 645-8242

Other identifiers 4

IdentifierTypeStateIssuer
231895OtherMNMEDICA
4C440N0OtherMNCOMP CARE SERVICES
0171OtherMNPREFERED ONE
4C440N0OtherMNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050916000354 MN Part B Supplier - Clinic/Group Practice 5991738270 Receives reassigned benefits from 1 practitioner
Practice locations: Northfield, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487789186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 DIVISION ST S",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "55057",
            "telephone_number": "507-645-8242",
            "fax_number": "507-645-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 DIVISION ST S",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "55057",
            "telephone_number": "507-645-8242",
            "fax_number": "507-645-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "507-645-8242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "231895",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMP CARE SERVICES",
            "identifier": "4C440N0",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERED ONE",
            "identifier": "0171",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4C440N0",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, MN

Sources for this page

  • 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.