NPIMap

Individual provider Active NPI

Michael William Bartell, D.C.

  • Chiropractor
  • Glenwood, MN
National Provider Identifier
1629139779
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4239 Issued in MN
Practice address
16151 State Highway 29
Suite 100
Glenwood, MN 56334-2142
Phone
(320) 634-3000
Fax
(320) 634-1948
NPI assigned
Dec 13, 2006
Last updated
Mar 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4239 MN Primary

Addresses

Primary practice location

16151 State Highway 29
Suite 100
Glenwood, MN 56334-2142

Mailing address

12 6TH Ave, Suite 103
PO Box 113
Glenwood, MN 56334
Phone (320) 634-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4239MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Delano Chiropractic Center, P.a. Chiropractor Past Accepting new patients
Delano Chiropractic Clinic PA Chiropractor PastSince Apr 5, 2006 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1629139779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 6TH AVE, SUITE 103",
            "address_2": "PO BOX 113",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "56334",
            "telephone_number": "320-634-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 STATE HIGHWAY 29",
            "address_2": "SUITE 100",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563342142",
            "telephone_number": "320-634-3000",
            "fax_number": "320-634-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELL",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.