Organization Active NPI

Elder Chiropractic Offices LTD.

  • Clinic/Center
  • Chatfield, MN
National Provider Identifier
1588844773
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
001873 Issued in MN
Legal business name
ELDER CHIROPRACTIC OFFICES LTD.
Practice address
119 Main St S
Chatfield, MN 55923-1253
Phone
(507) 867-3558
NPI assigned
Nov 6, 2007
Last updated
Jan 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ELDER CHIROPRACTIC OFFICES LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Dr. Julie Kay Elder, D.C.NPI 1083746812
Title
Owner
Phone
(507) 867-3558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 001873 MN Primary

Addresses

Primary practice location

119 Main St S
Chatfield, MN 55923-1253

Mailing address

119 Main St S
Chatfield, MN 55923-1253
Phone (507) 867-3558

Other identifiers 2

IdentifierTypeStateIssuer
39251ELOtherMNBLUECROSS AND BLUESHIELD
4948271MedicaidMN

National Provider Directory

National Provider Directory
Part of
Elder Chiropractic Offices LTD

Practitioners & affiliated clinicians

Practitioners 1

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": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1588844773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MAIN ST S",
            "city": "CHATFIELD",
            "state": "MN",
            "postal_code": "559231253",
            "telephone_number": "507-867-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAIN ST S",
            "city": "CHATFIELD",
            "state": "MN",
            "postal_code": "559231253",
            "telephone_number": "507-867-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER CHIROPRACTIC OFFICES LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELDER CHIROPRACTIC OFFICES LTD.",
        "enumeration_date": "2007-11-06",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-867-3558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "001873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS AND BLUESHIELD",
            "identifier": "39251EL",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4948271",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.