Individual provider Active NPI

Adam Loe, D.C

  • Chiropractor
  • Glenwood, MN
National Provider Identifier
1811449341
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6280 Issued in MN
Practice address
16 Minnesota Ave W Ste 100
Glenwood, MN 56334-1558
Phone
(320) 634-3000
NPI assigned
Nov 1, 2016
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6280 MN Primary

Addresses

Primary practice location

16 Minnesota Ave W Ste 100
Glenwood, MN 56334-1558

Mailing address

16 Minnesota Ave W Ste 100
Glenwood, MN 56334-1558
Phone (320) 634-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161109001291 MN Practitioner - Chiropractic 5890074116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 Minnesota Ave W
Suite 100
Glenwood, MN 56334-1558
Phone (320) 226-7002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6280MNMDAssistive Technology Supplier Audiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Med-Plus Health Care, PLLC Chiropractor CurrentSince Nov 7, 2016 Accepting new patients
Lakes Family Chiropractic PLLC Chiropractor CurrentSince Mar 2, 2021 Accepting new patients

Locations

16 Minnesota Ave W
Ste 100
Glenwood, MN 56334
Phone (320) 226-7002

2921 S Frontage Rd
Ste 3
Moorhead, MN 56560
Phone (218) 233-8544

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1811449341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MINNESOTA AVE W STE 100",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563341558",
            "telephone_number": "320-634-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MINNESOTA AVE W STE 100",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563341558",
            "telephone_number": "320-634-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOE",
        "first_name": "ADAM",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.