Organization Active NPI

Audette Chiropractic Clinic P.a.

  • Chiropractor
  • Duluth, MN
National Provider Identifier
1831250810
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2105 Issued in MN
Legal business name
AUDETTE CHIROPRACTIC CLINIC P.A.
Practice address
438 N 57TH Ave W
Duluth, MN 55807-3723
Phone
(218) 624-5759
Fax
(218) 624-4668
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. Christine Ann Audette, D.C.
Title
Owner
Phone
(218) 624-5759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2105 MN Primary

Addresses

Primary practice location

438 N 57TH Ave W
Duluth, MN 55807-3723

Mailing address

438 N 57TH Ave W
Duluth, MN 55807-3723
Phone (218) 624-5759

Other identifiers 1

IdentifierTypeStateIssuer
06720AUOtherMNBCBS MN

National Provider Directory

National Provider Directory

Locations

438 N 57th Ave W
Duluth, MN 55807
Phone (218) 624-2452

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1831250810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 N 57TH AVE W",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558073723",
            "telephone_number": "218-624-5759",
            "fax_number": "218-624-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 N 57TH AVE W",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558073723",
            "telephone_number": "218-624-5759",
            "fax_number": "218-624-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDETTE CHIROPRACTIC CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "AUDETTE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-624-5759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "06720AU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.