Pivotal Chiropractic & Wellness PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PIVOTAL CHIROPRACTIC & WELLNESS PLLC

Practice address

1600 Madison Ave Ste 112
Mankato, MN 56001-5470

Phone

(507) 401-2650

NPI assigned

Aug 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Tucker J Baumann, D.C.NPI 1942638267

Title

Owner

Phone

(507) 401-2650

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Tucker Joseph Baumann, D.C.

  • Chiropractor
  • Marshall, MN
  • NPI 1942638267
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1699321638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MADISON AVE STE 112",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015470",
            "telephone_number": "507-401-2650",
            "fax_number": "507-403-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MADISON AVE STE 112",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015470",
            "telephone_number": "507-401-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL CHIROPRACTIC & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "BAUMANN",
        "authorized_official_first_name": "TUCKER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-401-2650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chirospring",
            "affiliation": "N",
            "endpointDescription": "Electronic Heath Record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1600 Madison Ave Ste 112",
            "city": "Mankato",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560015470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paige Pike
• Pillars of Mankato LLC
• Allen Lawrence Pimienta, M.D.
• Lori L Pipal, OTR/L
• Ashlee Marie Pippin, CNM
• Kortni Nicole Pizel, MS
• Jason Henry Planas, MD
• Planned Parenthood Minnesota, North Dakota, South Dakota
• David J Plevak, M.D.
• Bruce John Poburka, PH.D., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.

Verify at the official NPI Registry.