Prairie Family & Sports Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PRAIRIE FAMILY & SPORTS CHIROPRACTIC PA

Practice address

344 E Main St
Blooming Prairie, MN 55917-0395

Phone

(507) 583-2271

Fax

(507) 583-0040

NPI assigned

Jun 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Chad Michael Eischens, DCNPI 1467557637

Title

Owner

Phone

(507) 583-2271

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.

• Chad Michael Eischens, D.C.

  • Chiropractor
  • Blooming Prairie, MN
  • NPI 1467557637
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1821250127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 E MAIN ST",
            "city": "BLOOMING PRAIRIE",
            "state": "MN",
            "postal_code": "559170395",
            "telephone_number": "507-583-2271",
            "fax_number": "507-583-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E MAIN ST",
            "city": "BLOOMING PRAIRIE",
            "state": "MN",
            "postal_code": "559170395",
            "telephone_number": "507-583-2271",
            "fax_number": "507-583-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE FAMILY & SPORTS CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "EISCHENS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-583-2271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "815318300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MN",
            "identifier": "4C688PR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deloris Harber
• Johnson Bros. Golf Cars Inc.
• Deborah Jean Lien, DDS, MBS
• Main Street Dental Clinic of Blooming Prairie, PLLP
• Main Street Dental MC
• Prairie Manor Inc.
• Luke John Rennie Jr.
• Daniel Michael Schafer, DDS
• Jeffrey Allen Schwert, DDS
• Osman Swedeh, DDS

• Chiropractor in Blooming Prairie, MN
• Providers in Blooming Prairie, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.