Active NPI
Thomas Charles Linden, D.C.
- Chiropractor
- Willmar, MN
National Provider Identifier
1649356213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2602
- Practice address
- 1604 1St St S
Willmar, MN 56201-4243 - Phone
- (320) 231-2513
- Fax
- (320) 231-3135
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2602 | MN | Primary |
Addresses
Primary practice location
1604 1St St S
Willmar, MN 56201-4243
Mailing address
1604 1St St S
Willmar, MN 56201-4243
Phone (320) 231-2513
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 762528600 | Medicaid | MN | |
| 60676LI | Other | MN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
102 Minnesota Ave SW
Willmar, MN 56201-3355
Phone (320) 231-2513
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2602 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linden Chiropractic Clinic P.a. | Current | Accepting new patients |
Locations
102 Minnesota Ave SW
Willmar, MN 56201
Phone (320) 231-2513
1604 1st St S
Willmar, MN 56201
Phone (320) 231-5039
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 and National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Willmar, MN
- NPI 1154513489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649356213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 1ST ST S",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562014243",
"telephone_number": "320-231-2513",
"fax_number": "320-231-3135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 1ST ST S",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562014243",
"telephone_number": "320-231-2513",
"fax_number": "320-231-3135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDEN",
"first_name": "THOMAS",
"middle_name": "CHARLES",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "762528600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "60676LI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.