Organization Active NPI

Northgate Health Clinic, P.a.

  • Chiropractor
  • Rochester, MN
National Provider Identifier
1720153745
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2236753 Issued in MN
Legal business name
NORTHGATE HEALTH CLINIC, P.A.
Practice address
600 11TH Avenue NW
Rochester, MN 55901-1805
Phone
(507) 285-1677
Fax
(507) 285-0052
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Dr. Todd Jay Buchanan, D.C.NPI 1487729497
Title
Owner
Phone
(507) 285-1677

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2236753 MN Primary

Addresses

Primary practice location

600 11TH Avenue NW
Rochester, MN 55901-1805

Mailing address

600 11TH Avenue NW
Rochester, MN 55901-1805
Phone (507) 285-1677

Other names 1

  • Northgate Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817000609 MN Part B Supplier - Clinic/Group Practice 7517930696 Receives reassigned benefits from 3 practitioners
Practice locations: Rochester, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2085042Northgate Chiropractic Clinic, PA600 11TH Ave Northwest, Rochester, MN 55901Certificate of waiverOct 6, 2026

National Provider Directory

National Provider Directory

Locations

600 11th Ave NW
Rochester, MN 55901
Phone (507) 285-1677

1204 7th St NW
Rochester, MN 55901
Phone (507) 218-0223

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1720153745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 11TH AVENUE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011805",
            "telephone_number": "507-285-1677",
            "fax_number": "507-285-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 11TH AVENUE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011805",
            "telephone_number": "507-285-1677",
            "fax_number": "507-285-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHGATE HEALTH CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-285-1677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2236753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northgate Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.