Patten Chiropractic Center, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001384 Issued in MN

Legal business name

PATTEN CHIROPRACTIC CENTER, PA

Practice address

1455 US Highway 12
Litchfield, MN 55355-5328

Phone

(320) 693-3612

Fax

(320) 693-7253

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Roger Patten, DCNPI 1578797585

Title

Vice President/Secretary

Phone

(320) 693-3612

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Michael Roger Patten, DC

  • Chiropractor
  • Sarasota, FL
  • NPI 1578797585

  MN

  Medicare reassignment Authorized official
• Christopher Earl Patten, DC

  • Chiropractor
  • Litchfield, MN
  • NPI 1275709719
  Medicare reassignment NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1740329382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 US HIGHWAY 12",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553555328",
            "telephone_number": "320-693-3612",
            "fax_number": "320-693-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 US HIGHWAY 12",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553555328",
            "telephone_number": "320-693-3612",
            "fax_number": "320-693-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTEN CHIROPRACTIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "PATTEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "VICE PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "320-693-3612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "001384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758825900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "47203",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "792350106",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leif Olson, MD
• Sara Oster
• Pamida Stores Operating Co LLC
• Anish Pathak, PHARMD, MBA
• Pathways Therapeutic Services, LLC
• Christopher Earl Patten, DC
• Debra Gay Peterson, MD
• Heidi J Peterson, MSW, LGSW
• Timothy M Peterson, MD
• Dhanush D Prasad, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.