Michael L. Maristuen D.C., P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4409 Issued in MN

Legal business name

MICHAEL L. MARISTUEN D.C., P.A.

Practice address

2216 County Road D W
Suite B
Saint Paul, MN 55112-7500

Phone

(651) 639-1066

NPI assigned

Jun 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lavern Maristuen, D.C.NPI 1235346784

Title

Owner

Phone

(651) 639-1066

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Michael Lavern Maristuen, D.C.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1235346784
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790981538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 COUNTY ROAD D W",
            "address_2": "SUITE B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551127500",
            "telephone_number": "651-639-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 COUNTY ROAD D W",
            "address_2": "SUITE B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551127500",
            "telephone_number": "651-639-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. MARISTUEN D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARISTUEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LAVERN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-639-1066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "318G5SP",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "C03495",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MH Health Care Services, PC
• Pei Mi, M.D, PH.D, MPH
• Michael a. Kurkowski, PA
• Michael Dixon Chiropractic, PA
• Michael J Miller Consulting LLC
• Michael V. Desanctis, PHD, Abpp, Licensed Psychologist PLLC
• Abigail Rebekah Michael, RN, BSN, PHN
• Amanda Michaelson, PHARMD
• Alyssa Michaletz
• Benjamin Michalicek, OD

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.