Individual provider Active NPI

Jeffrey Lotzer, D.C.

  • Chiropractor
  • Moorhead, MN
National Provider Identifier
1699832600
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2725 Issued in MN
Practice address
213 7TH St S
Moorhead, MN 56560-2740
Phone
(218) 233-5141
Fax
(218) 233-3348
NPI assigned
Jan 2, 2007
Last updated
Sep 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2725 MN Primary

Addresses

Primary practice location

213 7TH St S
Moorhead, MN 56560-2740

Mailing address

213 7TH St S
Moorhead, MN 56560-2740
Phone (218) 233-5141

Other identifiers 1

IdentifierTypeStateIssuer
350022213OtherMNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060118000029 MN Practitioner - Chiropractic 5092739011 Reassigns benefits to 2 organizations
Practice locations: Moorhead, MN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

213 7TH St S
Moorhead, MN 56560-2740
Phone (218) 233-5141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JC Lotzer Chiropractic Inc Chiropractor CurrentSince Nov 9, 2023 Accepting new patients

Locations

213 7th St S
Moorhead, MN 56560
Phone (218) 233-5141

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1699832600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 7TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602740",
            "telephone_number": "218-233-5141",
            "fax_number": "218-233-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 7TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602740",
            "telephone_number": "218-233-5141",
            "fax_number": "218-233-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTZER",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350022213",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.