Organization Active NPI

Aurora Chiropractic, LLC

  • Chiropractor
  • Mankato, MN
National Provider Identifier
1558765792
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5980 Issued in MN
Legal business name
AURORA CHIROPRACTIC, LLC
Practice address
1051 Madison Ave
Mankato, MN 56001-6143
Phone
(507) 508-5066
NPI assigned
Oct 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Jennifer Lynn Stuvek, D.C.NPI 1215272513
Title
Owner
Phone
(507) 508-5066

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 5980 MN Primary

Addresses

Primary practice location

1051 Madison Ave
Mankato, MN 56001-6143

Mailing address

1051 Madison Ave Ste 2
Mankato, MN 56001-6143
Phone (507) 625-1085

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150225001182 MN Part B Supplier - Clinic/Group Practice 0648596221 Receives reassigned benefits from 3 practitioners
Practice locations: Mankato, MN

National Provider Directory

National Provider Directory

Locations

1051 Madison Ave
Mankato, MN 56001
Phone (507) 386-7121

1051 Madison Ave
#2
Mankato, MN 56001
Phone (507) 625-1085

Practitioners & affiliated clinicians

Practitioners 3

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": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1558765792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 MADISON AVE STE 2",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016143",
            "telephone_number": "507-625-1085",
            "fax_number": "507-625-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016143",
            "telephone_number": "507-508-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "STUVEK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-508-5066",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.