Wanamingo Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4846 Issued in MN

Legal business name

WANAMINGO CHIROPRACTIC LLC

Practice address

200 Main St
Wanamingo, MN 55983-3848

Phone

(507) 824-2336

NPI assigned

May 14, 2009

Organization subpart

No

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

Authorized official

Name

Brent Leininger

Title

Owner

Phone

(507) 824-2336

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Laura McBroom, DC

  • Chiropractor
  • Wanamingo, MN
  • NPI 1164716668
  NPD (past)

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1679707996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 214",
            "city": "WANAMINGO",
            "state": "MN",
            "postal_code": "559830214",
            "telephone_number": "507-824-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "WANAMINGO",
            "state": "MN",
            "postal_code": "559833848",
            "telephone_number": "507-824-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANAMINGO CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "LEININGER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-824-2336"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "4846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428319800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura McBroom, DC
• National Birth Centers, Inc.
• Private Healthcare Facilities
• Riverview Services, Inc.
• Heidi Smith, LPC, MA

• Clinic/Center in Wanamingo, MN
• Providers in Wanamingo, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.