Mille Lacs Chiropractics

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2280 Issued in MN

Legal business name

MILLE LACS CHIROPRACTICS

Practice address

1010 5TH St SE
Milaca, MN 56353-1300

Phone

(320) 983-2728

Fax

(320) 983-2725

NPI assigned

Dec 8, 2006

Last updated

Apr 9, 2009By 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

Anthony Bernard Hass, DC

Title

Owner

Phone

(320) 983-2728

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1689733362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563530294",
            "telephone_number": "320-983-2728",
            "fax_number": "320-983-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 5TH ST SE",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531300",
            "telephone_number": "320-983-2728",
            "fax_number": "320-983-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLE LACS CHIROPRACTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "HASS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-983-2728",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279727500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3C131HA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCMI",
            "identifier": "231223",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Child & Family Services
• Katie Lynn Mason
• Kelly Renae Mau, PHARM.D.
• Michael
• Milaca Family Dental, LLC
• Mille Lacs County (Mille Lacs County Public Health)
• Mille Lacs County (Mille Lacs County CVS)
• Mille Lacs Health System (Mille Lacs Chiropractic)
• Mille Lacs Health System (Mille Lacs Health System Milaca Family Clinic)
• Molacek Family Eyecare, Inc.

• Chiropractor in Milaca, MN
• Providers in Milaca, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.