Southwest Family Chiropractic P.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUTHWEST FAMILY CHIROPRACTIC P.L.C.

Practice address

100 E Highway 14
Tyler, MN 56178-1101

Phone

(507) 247-3249

Fax

(507) 247-3250

NPI assigned

Sep 9, 2008

Last updated

Feb 16, 2021By 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. Christopher Donald Determan, D.C.NPI 1275781239

Title

Owner

Phone

(507) 247-3249

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 4

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.

• Christopher Donald Determan, D.C.

  • Chiropractor
  • Tyler, MN
  • NPI 1275781239
  Medicare reassignment Care Compare group NPD Authorized official
• James Gerald Determan, DC

  • Chiropractor
  • Tyler, MN
  • NPI 1578168886
  Medicare reassignment Care Compare group NPD
• Marissa Rae Tyler, DC

  • Chiropractor
  • Tyler, MN
  • NPI 1891563458
  Medicare reassignment Care Compare group NPD
• Josh David Wagner, D.C.

  • Chiropractor
  • Saint Francis, MN
  • NPI 1629380175
  NPD (past)

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1811146301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HIGHWAY 14",
            "city": "TYLER",
            "state": "MN",
            "postal_code": "561781101",
            "telephone_number": "507-247-3249",
            "fax_number": "507-247-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E HIGHWAY 14",
            "city": "TYLER",
            "state": "MN",
            "postal_code": "561781101",
            "telephone_number": "507-247-3249",
            "fax_number": "507-247-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FAMILY CHIROPRACTIC P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "DETERMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-247-3249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward B Novak, MD
• Enrico Ocampo, M.D., FACP, FACE
• Amy Lea Reese, RN
• Christopher Stephen Reynolds, M.D.
• Michelle Reynolds, MD
• Thrifty Drug Stores Inc (Thrifty White Pharmacy #768)
• Tyler Family Dental PLLC
• Tyler Healthcare Center Dba Tyler Healthcare Pharmacy
• Marissa Rae Tyler, DC
• John Rice Utoft, DDS

• Chiropractor in Tyler, MN
• Providers in Tyler, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.