Organization Active NPI

Health First Chiropractic of Baxter

  • Chiropractor
  • Baxter, MN
National Provider Identifier
1578624839
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEALTH FIRST CHIROPRACTIC OF BAXTER
Practice address
14213 Golf Course Drive Suite 105
Baxter, MN 56425
Phone
(218) 829-8414
Fax
(218) 828-2005
NPI assigned
Dec 12, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ronald Lee Prouty, D.C.NPI 1700998655
Title
Owner
Phone
(218) 829-8414

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
Chiropractor 111N00000X MN Primary

Addresses

Primary practice location

14213 Golf Course Drive Suite 105
Baxter, MN 56425

Mailing address

14213 Golf Course Drive Suite 105
Baxter, MN 56425
Phone (218) 829-8414

Other identifiers 2

IdentifierTypeStateIssuer
CJ6081OtherMNRR MEDICARE
44G66HEOtherMNBCBS

National Provider Directory

National Provider Directory

Locations

2594 Tilden Trl SW
Pine River, MN 56474
Phone (218) 587-4681

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578624839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14213 GOLF COURSE DRIVE SUITE 105",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "56425",
            "telephone_number": "218-829-8414",
            "fax_number": "218-828-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14213 GOLF COURSE DRIVE SUITE 105",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "56425",
            "telephone_number": "218-829-8414",
            "fax_number": "218-828-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH FIRST CHIROPRACTIC OF BAXTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PROUTY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-829-8414",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CJ6081",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44G66HE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.