Granite City Chiropractic, Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

1496 Issued in MN

Legal business name

GRANITE CITY CHIROPRACTIC, INC

Doing business as

New Richland Chiropractic

Practice address

131 South Broadway
New Richland, MN 56072

Phone

(507) 463-3811

Fax

(507) 463-3812

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Raymond W Mielke, DC

Title

President

Phone

(507) 463-3811

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Richland Chiropractic Doing business as

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1790843324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "NEW RICHLAND",
            "state": "MN",
            "postal_code": "560720441",
            "telephone_number": "507-463-3811",
            "fax_number": "507-463-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SOUTH BROADWAY",
            "city": "NEW RICHLAND",
            "state": "MN",
            "postal_code": "56072",
            "telephone_number": "507-463-3811",
            "fax_number": "507-463-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE CITY CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "MIELKE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-463-3811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "1496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3KO36GR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Richland Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of New Richland
• Ecumen
• James Hansen
• Ind School Dist 2168 Nrheg Public Schools
• Main Street Dental Clinic of New Richland PLLP
• Raymond W Mielke, D.C.
• New Richland Care Center

• Health Service Clinic/Center in New Richland, MN
• Providers in New Richland, MN by specialty
• Health Service Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.