Individual provider Active NPI

Randall Douglas Westerberg, D.C.

  • Chiropractor
  • Cambridge, MN
National Provider Identifier
1649347741
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2137 Issued in MN
Practice address
135 2ND Ave NW
Cambridge, MN 55008-1102
Phone
(763) 689-0900
Fax
(763) 689-0902
NPI assigned
Nov 30, 2006
Last updated
Jun 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2137 MN Primary

Addresses

Primary practice location

135 2ND Ave NW
Cambridge, MN 55008-1102

Mailing address

135 2ND Ave NW
Cambridge, MN 55008-1102
Phone (763) 689-0900

Other names 1

  • Dr. Randall Douglas Westerberg Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110209000160 MN Practitioner - ChiropracticPractitioner - Neurology 0042490070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Neurology
Education
Northwestern College of Chiropractic, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

135 2ND Ave NW
Cambridge, MN 55008-1102
Phone (763) 689-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Westerberg Chiropractic P.a. Chiropractor CurrentSince Jan 28, 2002 Accepting new patients

Locations

135 2nd Ave NW
Cambridge, MN 55008
Phone (763) 689-0900

Organizations & group practices 1

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1649347741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 2ND AVE NW",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081102",
            "telephone_number": "763-689-0900",
            "fax_number": "763-689-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 2ND AVE NW",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081102",
            "telephone_number": "763-689-0900",
            "fax_number": "763-689-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERBERG",
        "first_name": "RANDALL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDALL",
            "last_name": "WESTERBERG",
            "middle_name": "DOUGLAS",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cambridge, MN

Sources for this page

Verify at the official NPI Registry.