Martin O Eng, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3331 Issued in MN

Practice address

710 Dodge Avenue NW
Suite C
Elk River, MN 55330-2890

Phone

(763) 441-1701

Fax

(763) 441-5348

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lighthouse Chiropractic Health Center, Inc

  • Chiropractor
  • Elk River, MN
  • NPI 1487721684
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1740255686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 DODGE AVENUE NW",
            "address_2": "SUITE C",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302890",
            "telephone_number": "763-441-1701",
            "fax_number": "763-441-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 DODGE AVENUE NW",
            "address_2": "SUITE C",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302890",
            "telephone_number": "763-441-1701",
            "fax_number": "763-441-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "MARTIN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6855253-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert A Elveru, PT
• Theresa Jane Elyea
• Embrace Mental Wellness
• Encompass Integrative Health, LLC
• Encouraging Results Counseling, P.C.
• Jennifer Christine Engels
• Kristen English, MA, LPCC
• Stacey Dianne Engstrom
• Jenny E Enstrom, PA
• Charles Burton Erickson, MD

• All providers in Elk River, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.