Rockford Chiropractic Corporation
Organization Active NPI Chiropractor · Rockford, MN
NPI 1790796159 · NPPES record last updated Dec 27, 2012
Key facts
- NPI
- 1790796159
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3765 (MN)
- Legal business name
- ROCKFORD CHIROPRACTIC CORPORATION
- Practice address
- 9000 Walnut Street
Rockford, MN 55373 - Phone
- (763) 477-5720
- Fax
- (866) 595-5649
- NPI assigned
- Aug 11, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ROCKFORD CHIROPRACTIC CORPORATION
Authorized official
- Name
- Dr. Steven Peter Karg, D.C.
- Title
- Chiropractor
- Phone
- (763) 477-5720
Practitioners 5
-
Steve Karg, DC
-
Thomas Ervin Peterson, D.C.
-
Rita Melnik, D.C.
-
Jeffrey John Zachman, L.AC.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041223000021 | MN | Part B Supplier - Clinic/Group Practice | 2062470958 |
Receives reassigned benefits from 1 practitioner Practice locations: Rockford, MN |
National Provider Directory
- Part of
- Rockford Chiropractic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3765 | MN | Yes |
| Chiropractor |
111N00000X | 4723 | MN |
Addresses
Primary practice location
9000 Walnut Street
Rockford, MN 55373
Mailing address
PO Box 250
Rockford, MN 55373-0250
Phone (763) 477-6569
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 491068100 | Medicaid | MN |
Other names
- Rockford Chiropractic
Other providers in Rockford, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.