Organization Active NPI

Naturally Chiropractic, P.a.

  • Primary Care Clinic/Center
  • Duluth, MN
National Provider Identifier
1548446545
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
5012 Issued in MN
Legal business name
NATURALLY CHIROPRACTIC, P.A.
Practice address
404 W Superior St
Suite 225C
Duluth, MN 55802-1559
Phone
(218) 722-2004
NPI assigned
Jan 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Authorized official

Name
Dr. Stephanie M West, D.C.NPI 1023203957
Title
Owner
Phone
(218) 343-0997

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
Primary Care Clinic/Center 261QP2300X 5012 MN Primary

Addresses

Primary practice location

404 W Superior St
Suite 225C
Duluth, MN 55802-1559

Mailing address

404 W Superior St
Suite 225C
Duluth, MN 55802-1559
Phone (218) 722-2004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080416000307 MN Part B Supplier - Clinic/Group Practice 0941388953 Receives reassigned benefits from 1 practitioner
Practice locations: Duluth, MN

National Provider Directory

National Provider Directory

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": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1548446545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W SUPERIOR ST",
            "address_2": "SUITE 225C",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021559",
            "telephone_number": "218-722-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W SUPERIOR ST",
            "address_2": "SUITE 225C",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021559",
            "telephone_number": "218-722-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURALLY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-343-0997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": "5012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.