Heartland Family Chiropractic, P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3280 Issued in MN

Legal business name

HEARTLAND FAMILY CHIROPRACTIC, P.A.

Practice address

23 North Main Street
Clara City, MN 56222-0793

Phone

(320) 847-3511

Fax

(320) 847-3752

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By 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. Jonathan Jay Grussing, D.C.NPI 1710022348

Title

President

Phone

(320) 847-3511

Specialties & licenses 1

Addresses

Other identifiers 1

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, and the practitioner matching its NPPES authorized official.

• Jonathan Jay Grussing, D.C.

  • Chiropractor
  • Clara City, MN
  • NPI 1710022348
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841335312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 NORTH MAIN STREET",
            "address_2": "P.O. BOX 793",
            "city": "CLARA CITY",
            "state": "MN",
            "postal_code": "562220793",
            "telephone_number": "320-847-3511",
            "fax_number": "320-847-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH MAIN STREET",
            "city": "CLARA CITY",
            "state": "MN",
            "postal_code": "562220793",
            "telephone_number": "320-847-3511",
            "fax_number": "320-847-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND FAMILY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRUSSING",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-847-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "3280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PIN",
            "identifier": "128M9HE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Clara City (Clara City Care Center)
• Clara City Ambulance Service
• Clara City Ambulance Service
• Jonathan Jay Grussing, D.C.
• Christine Hamre
• Hometown Care Providers
• Keaveny Korner Drug Inc (Keaveny Korner Drug)

• Clinic/Center in Clara City, MN
• Providers in Clara City, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.