Active NPI
Exponential Chiropractic Healing Center PLLC
- Chiropractor
- Saint Joseph, MN
National Provider Identifier
1689156358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1386
- Legal business name
- EXPONENTIAL CHIROPRACTIC HEALING CENTER PLLC
- Practice address
- 103 College Ave N
Saint Joseph, MN 56374-9801 - Phone
- (320) 363-4573
- Fax
- (320) 363-1314
- NPI assigned
- Aug 30, 2018
- Last updated
- May 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian S Koltes
- Title
- Owner
- Phone
- (320) 363-4573
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1386 | MN | Primary |
Addresses
Primary practice location
103 College Ave N
Saint Joseph, MN 56374-9801
Mailing address
103 College Ave N
Saint Joseph, MN 56374-0018
Phone (320) 363-4573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
103 College Ave N
Saint Joseph, MN 56374
Phone (320) 363-4573
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Saint Joseph, MN
- NPI 1063949998
-
- Chiropractor
- Saint Joseph, MN
- NPI 1962587402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715558400000",
"number": "1689156358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 COLLEGE AVE N",
"city": "SAINT JOSEPH",
"state": "MN",
"postal_code": "563740018",
"telephone_number": "320-363-4573",
"fax_number": "320-363-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 COLLEGE AVE N",
"city": "SAINT JOSEPH",
"state": "MN",
"postal_code": "563749801",
"telephone_number": "320-363-4573",
"fax_number": "320-363-1314"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPONENTIAL CHIROPRACTIC HEALING CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-30",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A",
"authorized_official_last_name": "KOLTES",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "320-363-4573",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "1386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MN
- Amanda J Dircks, NP
- Jean Marie Donnay, APRN CNP
- Dr Joseph R Styles /Curtis F Cotton PA
- Dr. Kelsey Milbert, P.a.
- Essilor Laboratories of America, Inc (Essilor Coating Center)
- Harmony Behavioral Health LLC
- Melinda Marie Hellermann, RN
- Emily Heying, PHD, RD, LD
- Susan A. Heying, RN, CFNP
- Carol L Holton, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.