Organization Active NPI

New Ulm Chiropractic Office, PA

  • Chiropractor
  • New Ulm, MN
National Provider Identifier
1750599643
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEW ULM CHIROPRACTIC OFFICE, PA
Practice address
117 S Broadway
New Ulm, MN 56073
Phone
(507) 354-4583
Fax
(507) 354-7528
NPI assigned
May 21, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mary J Sievert
Title
Chiropractic Assistant
Phone
(507) 354-4529

Practitioners 6

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20050705000912 MN Part B Supplier - Clinic/Group Practice 7315983988 Receives reassigned benefits from 3 practitioners
Practice locations: New Ulm, MN

National Provider Directory

National Provider Directory

Locations

117 S Broadway St
New Ulm, MN 56073
Phone (507) 354-4529

Interoperability endpoints

  • Direct secure messaging: shawkins@nuc0001.direct.chirotouch.md

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

117 S Broadway
New Ulm, MN 56073

Mailing address

117 S Broadway St
New Ulm, MN 56073-3114
Phone (507) 354-4529

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 7, 2008.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1750599643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S BROADWAY ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733114",
            "telephone_number": "507-354-4529",
            "fax_number": "507-354-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S BROADWAY",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "56073",
            "telephone_number": "507-354-4583",
            "fax_number": "507-354-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ULM CHIROPRACTIC OFFICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "SIEVERT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTIC ASSISTANT",
        "authorized_official_telephone_number": "507-354-4529"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Ulm, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.