Individual provider Active NPI

Troy E Storlie, D.C.

  • Chiropractor
  • Moorhead, MN
National Provider Identifier
1851403802
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3182 Issued in MN
Practice address
40 4TH St N
Moorhead, MN 56560-1955
Phone
(218) 477-1120
Fax
(218) 477-1121
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3182 MN Primary

Addresses

Primary practice location

40 4TH St N
Moorhead, MN 56560-1955

Mailing address

40 4TH St N
Moorhead, MN 56560-1955
Phone (218) 477-1120

Other identifiers 1

IdentifierTypeStateIssuer
932217500MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112003148 AL Practitioner - Chiropractic 5092746669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pmcoa, IncGroup PAC ID 5597929604, 5 clinicians

Practice addresses (Care Compare)

3283 Malcolm Dr
Montgomery, AL 36116-8816
Phone (334) 202-2680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3182MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Health & Wellness PA Chiropractor PastSince Jun 30, 2003 Accepting new patients
Regenerative Medical Management PastSince Sep 11, 2021 Accepting new patients

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1851403802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 4TH ST N",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601955",
            "telephone_number": "218-477-1120",
            "fax_number": "218-477-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 4TH ST N",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601955",
            "telephone_number": "218-477-1120",
            "fax_number": "218-477-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORLIE",
        "first_name": "TROY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "932217500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.