Organization Active NPI

St. James Family Chiropractic, LTD.

  • Chiropractor
  • Saint James, MN
National Provider Identifier
1669699005
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3474 Issued in MN
Legal business name
ST. JAMES FAMILY CHIROPRACTIC, LTD.
Practice address
800 Weston Ave
Saint James, MN 56081-1642
Phone
(507) 375-4690
Fax
(507) 375-7661
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Curtis L Leimer, D.C.NPI 1225037708
Title
President
Phone
(507) 375-4690

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 SINGLE SPECIALTY GROUP 111N00000X 3474 MN Primary

Addresses

Primary practice location

800 Weston Ave
Saint James, MN 56081-1642

Mailing address

PO Box 397
Saint James, MN 56081-0397
Phone (507) 375-4690

Other identifiers 1

IdentifierTypeStateIssuer
289K4JAOtherMNBCBS CLINIC ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040812000320 MN Part B Supplier - Clinic/Group Practice 8325010010 Receives reassigned benefits from 1 practitioner
Practice locations: Saint James, MN

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2077556St James Family Chiropractic, LTD800 Weston Ave North, Saint James, MN 56081Certificate of waiverMay 8, 2028

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669699005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560810397",
            "telephone_number": "507-375-4690",
            "fax_number": "507-375-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WESTON AVE",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560811642",
            "telephone_number": "507-375-4690",
            "fax_number": "507-375-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JAMES FAMILY CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEIMER",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-375-4690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC ID #",
            "identifier": "289K4JA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.