Organization Active NPI

Aim Chiropractic PC

  • Chiropractor
  • Perham, MN
National Provider Identifier
1841703014
Registry record updated Nov 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6243 Issued in MN
Legal business name
AIM CHIROPRACTIC PC
Practice address
101 Coney St W
Perham, MN 56573-2117
Phone
(218) 346-2225
NPI assigned
Nov 10, 2017
Last updated
Nov 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2017

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

Authorized official

Name
Dr. Carissa Mitchell, DCNPI 1750774204
Title
Owner/Chiropractor
Phone
(218) 252-6333

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
Chiropractor 111N00000X 6243 MN Primary

Addresses

Primary practice location

101 Coney St W
Perham, MN 56573-2117

Mailing address

23471 151St Ave
Sebeka, MN 56477-2087
Phone (218) 252-6333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171226002035 MN Part B Supplier - Clinic/Group Practice 4880952704 Receives reassigned benefits from 2 practitioners
Practice locations: Perham, MN

National Provider Directory

National Provider Directory

Locations

101 Coney St W
Perham, MN 56573
Phone (218) 346-2225

Practitioners & affiliated clinicians

Practitioners 3

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": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510272000000",
    "number": "1841703014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23471 151ST AVE",
            "city": "SEBEKA",
            "state": "MN",
            "postal_code": "564772087",
            "telephone_number": "218-252-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CONEY ST W",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565732117",
            "telephone_number": "218-346-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIM CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "218-252-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perham, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; 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.