Individual provider Active NPI

Bethany Lynn Catlin, D.C.

  • Chiropractor
  • Cottage Grove, MN
National Provider Identifier
1639464712
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5544 Issued in MN
Practice address
8617 W Point Douglas Rd S Ste 110
Cottage Grove, MN 55016-4122
Phone
(651) 459-2000
Fax
(612) 437-4757
NPI assigned
Jun 16, 2011
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5544 MN Primary

Addresses

Primary practice location

8617 W Point Douglas Rd S Ste 110
Cottage Grove, MN 55016-4122

Mailing address

8617 W Point Douglas Rd S Ste 110
Cottage Grove, MN 55016-4122
Phone (612) 987-3899

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110913000513 MN Practitioner - Chiropractic 1254502743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whole Health Chiropractic PCGroup PAC ID 4688900376, 4 clinicians

Practice addresses (Care Compare)

8617 W Point Douglas Rd S
Suite 110
Cottage Grove, MN 55016-4122
Phone (651) 459-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Health Massage LLC PastSince Jun 7, 2014 Accepting new patients
Family Wellness Center of C G P.a. Chiropractor PastSince Apr 26, 2006 Accepting new patients
Afton Chiropractic Clinic Chiropractor Past Accepting new patients

Organizations & group practices 4

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1639464712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8617 W POINT DOUGLAS RD S STE 110",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164122",
            "telephone_number": "612-987-3899",
            "fax_number": "612-437-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8617 W POINT DOUGLAS RD S STE 110",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164122",
            "telephone_number": "651-459-2000",
            "fax_number": "612-437-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATLIN",
        "first_name": "BETHANY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.