Organization Active NPI

Byron Chiropractic, Inc.

  • Chiropractor
  • Byron, MN
National Provider Identifier
1780876557
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
002944 Issued in MN
Legal business name
BYRON CHIROPRACTIC, INC.
Practice address
501 NW Frontage Rd
Byron, MN 55920
Phone
(507) 775-2711
Fax
(507) 775-2661
NPI assigned
Aug 15, 2007
Last updated
Sep 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Mrs. Sally Lee McConaughey
Title
Office Manager
Phone
(507) 775-2771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 002944 MN Primary

Addresses

Primary practice location

501 NW Frontage Rd
Byron, MN 55920

Mailing address

501 Frontage Rd NW
Byron, MN 55920-1275
Phone (507) 775-2711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050502000513 MN Part B Supplier - Clinic/Group Practice 6103865811 Receives reassigned benefits from 1 practitioner
Practice locations: Byron, MN

National Provider Directory

National Provider Directory

Locations

501 Frontage Rd NW
Byron, MN 55920
Phone (507) 216-1793

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1780876557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FRONTAGE RD NW",
            "city": "BYRON",
            "state": "MN",
            "postal_code": "559201275",
            "telephone_number": "507-775-2711",
            "fax_number": "507-775-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW FRONTAGE RD",
            "city": "BYRON",
            "state": "MN",
            "postal_code": "55920",
            "telephone_number": "507-775-2711",
            "fax_number": "507-775-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRON CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "MCCONAUGHEY",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "507-775-2771",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "002944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, MN

Sources for this page

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