NPIMap

Organization Active NPI

Mankato Chiropractic Center

  • Chiropractor
  • Mankato, MN
National Provider Identifier
1659323004
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3058 Issued in MN
Legal business name
MANKATO CHIROPRACTIC CENTER
Practice address
31 Navaho Ave
Mankato, MN 56001-4812
Phone
(507) 345-4035
NPI assigned
May 16, 2006
Last updated
Jan 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Teresa L Marshall, DCNPI 1619907276
Title
DC/Owner
Phone
(507) 345-4035

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
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3058 MN Primary

Addresses

Primary practice location

31 Navaho Ave
Mankato, MN 56001-4812

Mailing address

31 Navaho Ave
Mankato, MN 56001-4812
Phone (507) 345-4035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060607000266 MN Part B Supplier - Clinic/Group Practice 7012929136 Receives reassigned benefits from 4 practitioners
Practice locations: Mankato, MN

National Provider Directory

National Provider Directory

Locations

31 Navaho Ave
Mankato, MN 56001
Phone (507) 345-4035

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1659323004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 NAVAHO AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014812",
            "telephone_number": "507-345-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 NAVAHO AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014812",
            "telephone_number": "507-345-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANKATO CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DC/OWNER",
        "authorized_official_telephone_number": "507-345-4035",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.