Active NPI
Nicole Des Marais
- Chiropractor
- Robbinsdale, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6334
- Practice address
- 4101 W Broadway Ave Ste D
Go Health Chiropractic
Robbinsdale, MN 55422-1859 - Phone
- (763) 533-9997
- NPI assigned
- Jan 25, 2017
- Last updated
- Jan 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6334 | MN | Primary |
Addresses
Primary practice location
4101 W Broadway Ave Ste D
Go Health Chiropractic
Robbinsdale, MN 55422-1859
Mailing address
4101 W Broadway Ave Ste D
Go Health Chiropractic
Robbinsdale, MN 55422-1859
Phone (763) 533-9997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4101 W Broadway Ave
Suite D
Robbinsdale, MN 55422-1859
Phone (763) 533-9997
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6334 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Believe to Achieve Chiropractic P.a. | Chiropractor | Current | Accepting new patients |
| Town Center Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Locations
4101 W Broadway Ave
Ste D
Robbinsdale, MN 55422
Phone (763) 533-9997
Organizations & group practices 2
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.
-
dba Go Health Chiropractic
- Chiropractor
- Robbinsdale, MN
- NPI 1093086696
-
dba Go Health Chiropractic
- Chiropractor
- Robbinsdale, MN
- NPI 1962611608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1558808824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 W BROADWAY AVE STE D",
"address_2": "GO HEALTH CHIROPRACTIC",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554221859",
"telephone_number": "763-533-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 W BROADWAY AVE STE D",
"address_2": "GO HEALTH CHIROPRACTIC",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554221859",
"telephone_number": "763-533-9997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DES MARAIS",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-25",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.