Organization Active NPI

JC Lotzer Chiropractic Inc

  • Clinic/Center
  • Moorhead, MN
National Provider Identifier
1629209218
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JC LOTZER CHIROPRACTIC INC
Practice address
213 7TH St S
Moorhead, MN 56560-2740
Phone
(218) 233-5141
Fax
(218) 233-3348
NPI assigned
Jul 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Dr. Jeff Lotzer, DC
Title
President
Phone
(218) 233-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

213 7TH St S
Moorhead, MN 56560-2740

Mailing address

213 7TH St S
Moorhead, MN 56560-2740
Phone (218) 233-5141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231130003242 MN Part B Supplier - Clinic/Group Practice 1456709401 Receives reassigned benefits from 1 practitioner
Practice locations: Moorhead, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1629209218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 7TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602740",
            "telephone_number": "218-233-5141",
            "fax_number": "218-233-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 7TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602740",
            "telephone_number": "218-233-5141",
            "fax_number": "218-233-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC LOTZER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "LOTZER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-233-5141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.