Active NPI
Sawtooth Chiropractic PC
- Chiropractor
- Grand Marais, MN
National Provider Identifier
1700026762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 723
- Legal business name
- SAWTOOTH CHIROPRACTIC PC
- Practice address
- 501 W 5TH St
Grand Marais, MN 55604 - Phone
- (218) 387-2383
- Fax
- (218) 387-2383
- NPI assigned
- Mar 3, 2009
- 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. Malin Elisabeth Aseby-Gesch, DC
- Title
- President
- Phone
- (218) 387-2383
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 | 723 | MN | Primary |
Addresses
Primary practice location
501 W 5TH St
Grand Marais, MN 55604
Mailing address
PO Box 158
Grand Marais, MN 55604-0158
Phone (218) 387-2383
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350051297 | Other | MN | MEDICARE RAILROAD |
| 29G39GE | Other | MN | BC/BS OF MN INDIVIDUAL |
| 29G38SA | Other | MN | BC/BS OF MN BUSINESS |
| 1538269675 | Other | MN | NPI INDIVIDUAL |
| 3570193-00 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Grand Marais, MN
- NPI 1538269675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333324800000",
"number": "1700026762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 158",
"city": "GRAND MARAIS",
"state": "MN",
"postal_code": "556040158",
"telephone_number": "218-387-2383",
"fax_number": "218-387-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W 5TH ST",
"city": "GRAND MARAIS",
"state": "MN",
"postal_code": "55604",
"telephone_number": "218-387-2383",
"fax_number": "218-387-2383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAWTOOTH CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-03",
"last_updated": "2012-04-02",
"status": "A",
"authorized_official_last_name": "ASEBY-GESCH",
"authorized_official_first_name": "MALIN",
"authorized_official_middle_name": "ELISABETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "218-387-2383",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "350051297",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MN INDIVIDUAL",
"identifier": "29G39GE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MN BUSINESS",
"identifier": "29G38SA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL",
"identifier": "1538269675",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3570193-00",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Marais, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.