Organization Active NPI

Haugen Chiropractic, SC

  • Health Service Clinic/Center
  • Northfield, MN
National Provider Identifier
1649609462
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
2343 Issued in MN
Legal business name
HAUGEN CHIROPRACTIC, SC
Practice address
206 7TH St W
Northfield, MN 55057-2419
Phone
(507) 663-1271
Fax
(507) 663-1273
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Dr. Nels Peter Haugen, DCNPI 1760481634
Title
Owner
Phone
(507) 663-1271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 2343 MN Primary

Addresses

Primary practice location

206 7TH St W
Northfield, MN 55057-2419

Mailing address

206 7TH St W
Northfield, MN 55057-2419
Phone (507) 663-1271

Other identifiers 2

IdentifierTypeStateIssuer
4HU47HAOtherMNBLUE CROSS BLUE SHIELD
M866407200MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131126000086 MN Part B Supplier - Clinic/Group Practice 1951537877 Receives reassigned benefits from 1 practitioner
Practice locations: Northfield, MN

National Provider Directory

National Provider Directory

Locations

206 7th St W
Northfield, MN 55057
Phone (507) 663-1271

Practitioners & affiliated clinicians

Practitioners 2

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": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1649609462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 7TH ST W",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572419",
            "telephone_number": "507-663-1271",
            "fax_number": "507-663-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 7TH ST W",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572419",
            "telephone_number": "507-663-1271",
            "fax_number": "507-663-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAUGEN CHIROPRACTIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "HAUGEN",
        "authorized_official_first_name": "NELS",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-663-1271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "2343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4HU47HA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M866407200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.