Nesseth Chiropractic Clinic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NESSETH CHIROPRACTIC CLINIC PA

Practice address

235 Broadway Ave S
Cokato, MN 55321-4681

Phone

(320) 286-6336

Fax

(320) 286-6337

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Gene Nesseth, D.C.NPI 1447260567

Title

President

Phone

(320) 286-6336

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Gene Nesseth, DC

  • Chiropractor
  • Cokato, MN
  • NPI 1447260567
  Medicare reassignment NPD Authorized official
• Jeremiah Staples, D.C.

  • Chiropractor
  • Excelsior, MN
  • NPI 1730217183
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1619008067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 818",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553210818",
            "telephone_number": "320-286-6336",
            "fax_number": "320-286-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 BROADWAY AVE S",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553214681",
            "telephone_number": "320-286-6336",
            "fax_number": "320-286-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESSETH CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "NESSETH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-286-6336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIME WEST",
            "identifier": "051215003",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "19960NE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218659400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Kurtiss McConkey, D.C.
• Meeker and Wright Special Education
• Angela Ruth Meredith, CMT
• Kiefer James Miller, DDS
• Minnesota Drug Acquisition Co LLC
• David Gene Nesseth, DC
• Miriam V Ragab, DO
• Warren David Shepard, MD
• Shopko Stores Operating Co., LLC
• Simonson Hearing Services, Inc

• Chiropractor in Cokato, MN
• Providers in Cokato, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.