Northern Family Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4421 Issued in MN

Legal business name

NORTHERN FAMILY CHIROPRACTIC, PA

Practice address

13968 Cypress Dr
Ste 1B
Baxter, MN 56425-5903

Phone

(218) 822-3855

Fax

(218) 822-3854

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Erica Lea Johnson, DC

Title

Owner

Phone

(218) 822-3855

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Erica Lea Jackson, DC

  • Chiropractor
  • Baxter, MN
  • NPI 1568519577
  Medicare reassignment NPD
• Abby Stangl, DC

  • Chiropractor
  • Little Falls, MN
  • NPI 1629781984
  Medicare reassignment NPD

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1942400940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13968 CYPRESS DR",
            "address_2": "STE 1B",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564255903",
            "telephone_number": "218-822-3855",
            "fax_number": "218-822-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13968 CYPRESS DR",
            "address_2": "STE 1B",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564255903",
            "telephone_number": "218-822-3855",
            "fax_number": "218-822-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN FAMILY CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-822-3855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088450200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Newell, LICSW
• Cicely Nicholas
• Eileen Rose Nitz
• Nordic Woods Assisted Living LLC
• North Central Medical Supply, Inc.
• Northernwaters Counseling LLC
• Northway Academy, Inc.
• Northway Academy, Inc.
• Etta Norton
• Elissa Anne Nygaard

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.