Falls Advanced Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2740 Issued in MN

Legal business name

FALLS ADVANCED CHIROPRACTIC CENTER

Practice address

1322 Third Street
Suite 4
International Falls, MN 56649

Phone

(218) 283-2243

Fax

(218) 285-3608

NPI assigned

Oct 4, 2006

Last updated

Sep 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Lee Potter, DCNPI 1104007400

Title

President

Phone

(218) 283-2243

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Gary Lee Potter, DC

  • Chiropractor
  • International Falls, MN
  • NPI 1104007400
  Authorized official Same address or phone

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1679668933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 THIRD STREET",
            "address_2": "SUITE 4",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "56649",
            "telephone_number": "218-283-2243",
            "fax_number": "218-285-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 THIRD STREET",
            "address_2": "SUITE 4",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "56649",
            "telephone_number": "218-283-2243",
            "fax_number": "218-285-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS ADVANCED CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-283-2243",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonita Lynn Despain, PTA
• Whitney Lee Donner
• E L Anderson City Drug Store (City Drug)
• Essentia Health Virginia, LLC (Essentia Health International Falls Clinic)
• Essentia Health Virginia, LLC (Essentia Health International Falls Clinic)
• Falls Chiropractic Clinic, LTD
• Falls Medical Group, PLLC (Falls.MD)
• Ralinda Ellen Ferguson, CMT
• Katherine Fluke, LIC, MFT
• Christine Marie Gelo, D.D.S

• Chiropractor in International Falls, MN
• Providers in International Falls, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.