Range Spine Center, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5467 Issued in MN

Legal business name

RANGE SPINE CENTER, PLLC

Practice address

4104 9TH Ave W
Hibbing, MN 55746-3020

Phone

(218) 969-4928

NPI assigned

Sep 18, 2012

Last updated

Jan 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas George Ongaro, D.C.NPI 1871897512

Title

Co-Owner/Doctor of Chiropractic

Phone

(218) 969-4928

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

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.

• Nicholas G Ongaro, D.C.

  • Chiropractor
  • Hibbing, MN
  • NPI 1871897512
  Medicare reassignment Care Compare group NPD Authorized official
• Michael John Modich, D.C.

  • Chiropractor
  • Side Lake, MN
  • NPI 1114237013
  Medicare reassignment Care Compare group NPD
• Amanda Hammond, CMT

  • Massage Therapist
  • Hibbing, MN
  • NPI 1053972133
  NPD (past)

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1720338676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 9TH AVE W",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557463020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 9TH AVE W",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557463020",
            "telephone_number": "218-969-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANGE SPINE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "ONGARO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CO-OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "218-969-4928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5322",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Range Regional Health Services (Healthline Homecare)
• Kailey Annamae Reddick, LAT, ATC
• Teresa Reder
• Regents of the University of Minnesota (Hibbing Community College Dental Clinic)
• Christopher Mark Reilly, M.D.
• Renew Health Services, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.