James Robert Midboe, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5677 Issued in MN

Practice address

4401 Egan Drive
Suite 100
Savage, MN 55378

Phone

(952) 746-4162

Fax

(952) 890-1095

NPI assigned

Nov 5, 2012

Last updated

Oct 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Finish Line Chiropractic P.a.

  dba Finish Line Chiropractic

  • Chiropractor
  • Savage, MN
  • NPI 1639349269
  Authorized official Same address or phone
• Finish Line Wellness

  • Acupuncturist
  • Savage, MN
  • NPI 1447797162
  NPD (past) Authorized official
• Finish Line Wellness Group LLC

  • Massage Therapist
  • Saint Paul, MN
  • NPI 1245900075
  NPD (past) Authorized official

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1487908984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 EGAN DR # 100",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782024",
            "telephone_number": "952-746-4162",
            "fax_number": "952-890-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 EGAN DRIVE",
            "address_2": "SUITE 100",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "55378",
            "telephone_number": "952-746-4162",
            "fax_number": "952-890-1095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Wabasha St N Ste 390",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551021147",
            "country_code": "US",
            "telephone_number": "651-346-3848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDBOE",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-05",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Meyer Poe, P.a. (Acute Care Chiropractic)
• Brooke Micholic, DC
• Laura A Mickelson, CRNA
• Midwest Oral & Facial Surgery PLLC
• Midwest Oral & Maxillofacial Surgery PA
• Jesse Alexander Miller
• Marissa Miller
• Sarah Elizabeth Minder, LADC

• Chiropractor in Savage, MN
• Providers in Savage, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.