Active NPI
Lawrence Moritko, DC
- Chiropractor
- Blaine, MN
National Provider Identifier
1699846543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3064
- Practice address
- 1124 101St LN NE
Blaine, MN 55434-7602 - Phone
- (763) 568-4109
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3064 | MN | Primary |
Addresses
Primary practice location
1124 101St LN NE
Blaine, MN 55434-7602
Mailing address
1124 101St LN NE
Blaine, MN 55434-7602
Phone (763) 568-4109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abeler Chiropractic Clinic, PA | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Anoka, MN
- NPI 1225251770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712448000000",
"number": "1699846543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 101ST LN NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554347602",
"telephone_number": "763-568-4109",
"fax_number": "763-780-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 101ST LN NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554347602",
"telephone_number": "763-568-4109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORITKO",
"first_name": "LAWRENCE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2024-04-07",
"certification_date": "2024-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.