Active NPI
Pipestone Family Chiropractic, PA
- Chiropractor
- Pipestone, MN
National Provider Identifier
1497951073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4484
- Legal business name
- PIPESTONE FAMILY CHIROPRACTIC, PA
- Practice address
- 222 2ND Ave SW
Pipestone, MN 56164-1669 - Phone
- (507) 825-2214
- NPI assigned
- Jun 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mitch L Reynolds, D.C.
- Title
- Chiropractor
- Phone
- (507) 825-2214
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4484 | MN | Primary |
Addresses
Primary practice location
222 2ND Ave SW
Pipestone, MN 56164-1669
Mailing address
222 2ND Ave SW
PO Box 394
Pipestone, MN 56164-1669
Phone (507) 825-2214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04016009 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Pipestone, MN
- NPI 1003902206
-
- Chiropractor
- Sartell, MN
- NPI 1962542126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497951073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 2ND AVE SW",
"address_2": "PO BOX 394",
"city": "PIPESTONE",
"state": "MN",
"postal_code": "561641669",
"telephone_number": "507-825-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 2ND AVE SW",
"city": "PIPESTONE",
"state": "MN",
"postal_code": "561641669",
"telephone_number": "507-825-2214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIPESTONE FAMILY CHIROPRACTIC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "MITCH",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "507-825-2214",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "4484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04016009",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pipestone, 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.