NPIMap

Organization Active NPI

Humfeld Family Chiropractic, P.C.

  • Chiropractor
  • Faribault, MN
National Provider Identifier
1902968621
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4157 Issued in MN
Legal business name
HUMFELD FAMILY CHIROPRACTIC, P.C.
Practice address
119 Central Ave N
Faribault, MN 55021-5210
Phone
(507) 333-5388
Fax
(507) 333-5451
NPI assigned
Dec 16, 2006
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Dr. Lisa J. Humfeld-Wilson, D.C.NPI 1497742449
Title
Owner
Phone
(507) 333-5388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4157 MN Primary

Addresses

Primary practice location

119 Central Ave N
Faribault, MN 55021-5210

Mailing address

119 Central Ave N
P.O. Box 893
Faribault, MN 55021-5210
Phone (507) 333-5388

Other identifiers 2

IdentifierTypeStateIssuer
080M0HUOtherMNBCBS
872833000OtherMNDSHS

National Provider Directory

National Provider Directory

Locations

119 Central Ave N
Faribault, MN 55021
Phone (507) 330-6050

Practitioners & affiliated clinicians

Practitioners 2

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": "1166227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1902968621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CENTRAL AVE N",
            "address_2": "P.O. BOX 893",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215210",
            "telephone_number": "507-333-5388",
            "fax_number": "507-333-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 CENTRAL AVE N",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215210",
            "telephone_number": "507-333-5388",
            "fax_number": "507-333-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMFELD FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-16",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "HUMFELD-WILSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-333-5388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "080M0HU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "872833000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.