Individual provider Active NPI

Alyssa Louann Clarity, DC

  • Chiropractor
  • International Falls, MN
National Provider Identifier
1831654987
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6587 Issued in MN
Practice address
1322 3Rd St Ste 4
International Falls, MN 56649-2129
Phone
(218) 283-2243
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6587 MN Primary

Addresses

Primary practice location

1322 3Rd St Ste 4
International Falls, MN 56649-2129

Mailing address

1322 3Rd St Ste 4
International Falls, MN 56649-2129
Phone (218) 324-2219

Other names 1

  • Ms. Alyssa Louann Bergstrom Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190313001814 MN Practitioner - Chiropractic 6800136789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

523 3Rd Ave
International Falls, MN 56649-2421
Phone (218) 283-2243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6587MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Align Chiropractic & Wellness Center, PLLC Chiropractor CurrentSince Jan 1, 2021 Accepting new patients

Locations

1322 3rd St
Ste 4
Intl Falls, MN 56649
Phone (218) 283-2243

523 3rd Ave
Intl Falls, MN 56649
Phone (218) 283-2010

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1831654987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 3RD ST STE 4",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492129",
            "telephone_number": "218-324-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 3RD ST STE 4",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492129",
            "telephone_number": "218-283-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARITY",
        "first_name": "ALYSSA",
        "middle_name": "LOUANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "BERGSTROM",
            "middle_name": "LOUANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in International Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.