Organization Active NPI

Lowell Magelssen DC PA

  • Chiropractor
  • Shoreview, MN
National Provider Identifier
1841511425
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2067 Issued in MN
Legal business name
LOWELL MAGELSSEN DC PA
Practice address
1042 Highway 96 W
Shoreview, MN 55126-1913
Phone
(651) 482-1040
NPI assigned
Jun 17, 2010
Last updated
Jun 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Dr. Lowell Peter Magelssen, D.C.NPI 1710085576
Title
Officer
Phone
(651) 482-1040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2067 MN Primary

Addresses

Primary practice location

1042 Highway 96 W
Shoreview, MN 55126-1913

Mailing address

1042 Highway 96 W
Shoreview, MN 55126-1913
Phone (651) 482-1040

Other identifiers 1

IdentifierTypeStateIssuer
546727600MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100812000062 MN Part B Supplier - Clinic/Group Practice 2163556226 Receives reassigned benefits from 1 practitioner
Practice locations: Shoreview, MN

National Provider Directory

National Provider Directory

Locations

1042 Highway 96 W
Shoreview, MN 55126
Phone (651) 482-1040

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1841511425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 HIGHWAY 96 W",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261913",
            "telephone_number": "651-482-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 HIGHWAY 96 W",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261913",
            "telephone_number": "651-482-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWELL MAGELSSEN DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "MAGELSSEN",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "651-482-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "546727600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.