Individual provider Active NPI

Michael R Powell, DC

  • Chiropractor
  • Alexandria, MN
National Provider Identifier
1770577835
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3449 Issued in MN
Practice address
510 22ND Avenue E
Suite 701
Alexandria, MN 56308
Phone
(320) 763-9711
Fax
(320) 762-1278
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3449 MN Primary

Addresses

Primary practice location

510 22ND Avenue E
Suite 701
Alexandria, MN 56308

Mailing address

PO Box 533
Alexandria, MN 56308
Phone (320) 762-0683

Other identifiers 2

IdentifierTypeStateIssuer
312135600MedicaidMN
350002628OtherMNMEDICARE PART B

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305000940 MN Practitioner - Chiropractic 9830087451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 3Rd Ave E
Suite 100
Alexandria, MN 56308-1996
Phone (320) 762-0683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3449MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
LQCR, PLLC Chiropractor CurrentSince Jul 1, 2002 Accepting new patients
West Central Chiropractic & Wellness, LLC Chiropractor Past Accepting new patients

Locations

220 22nd Ave E
Ste 107
Alexandria, MN 56308
Phone (320) 219-9680

123 3rd Ave E
Ste 100
Alexandria, MN 56308
Phone (320) 339-1063

510 22nd Ave E
Ste 701
Alexandria, MN 56308
Phone (320) 763-9711

2715 Highway 29 S
Ste 103
Alexandria, MN 56308
Phone (320) 759-1273

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1770577835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 533",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-762-0683",
            "fax_number": "320-762-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 22ND AVENUE E",
            "address_2": "SUITE 701",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-763-9711",
            "fax_number": "320-762-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312135600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "350002628",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.