Sota Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOTA CHIROPRACTIC LLC

Practice address

833 Meander CT
Hamel, MN 55340-4549

Phone

(612) 470-0635

NPI assigned

Jul 19, 2022

Last updated

Jul 19, 2022By 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. Marcus Moore, DCNPI 1487309118

Title

Owner

Phone

(612) 470-0635

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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.

• Marcus Ryan Moore, DC

  • Chiropractor
  • Hamel, MN
  • NPI 1487309118
  Medicare reassignment NPD Authorized official
• Emma Sue Pietila

  • Massage Therapist
  • Medina, MN
  • NPI 1447167648
  NPD (past)

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1922733500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 MEANDER CT",
            "city": "HAMEL",
            "state": "MN",
            "postal_code": "553404549",
            "telephone_number": "612-470-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 MEANDER CT",
            "city": "HAMEL",
            "state": "MN",
            "postal_code": "553404549",
            "telephone_number": "612-470-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOTA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-470-0635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Fortin, DC
• Beth Marie Ley Knotts, PH.D.
• Marcus Ryan Moore, DC
• Karin Nowicki, RN
• Ally Petersen
• Synergy Consulting Services LLC
• Synergy Med Supplies LLC
• Wild Meadows Counseling PLLC

• Chiropractor in Hamel, MN
• Providers in Hamel, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.