Individual provider Active NPI

Michael Pfeffer, D.C.

  • Chiropractor
  • Alexandria, MN
National Provider Identifier
1558459545
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003398 Issued in MN
Practice address
108 15TH Ave E
Alexandria, MN 56308-2510
Phone
(320) 762-2350
Fax
(320) 762-2379
NPI assigned
Oct 11, 2006
Last updated
Jun 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 003398 MN Primary

Addresses

Primary practice location

108 15TH Ave E
Alexandria, MN 56308-2510

Mailing address

108 15TH Ave E
Alexandria, MN 56308-2510
Phone (320) 762-2350

Other identifiers 2

IdentifierTypeStateIssuer
41-1824263OtherMNFEDERALTAX ID
6442170-00MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120427000109 MN Practitioner - Chiropractic 7113189713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pfeffer Chiropractic and Concussion Clinic PAGroup PAC ID 7012178106, 2 clinicians

Practice addresses (Care Compare)

108 15TH Ave E
Alexandria, MN 56308-2510
Phone (320) 762-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003398MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pfeffer Chiropractic and Concussion Clinic PA Chiropractor CurrentSince Jul 19, 1996 Accepting new patients

Locations

108 15th Ave E
Alexandria, MN 56308
Phone (320) 762-1110

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1558459545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 15TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082510",
            "telephone_number": "320-762-2350",
            "fax_number": "320-762-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 15TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082510",
            "telephone_number": "320-762-2350",
            "fax_number": "320-762-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEFFER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERALTAX ID",
            "identifier": "41-1824263",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6442170-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.