Redebaugh Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1512 Issued in MN

Legal business name

REDEBAUGH CHIROPRACTIC, P.A.

Practice address

19513 State Highway 371
Brainerd, MN 56401-7298

Phone

(218) 963-2944

Fax

(218) 963-0899

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Seth Michael Smart, D.C.NPI 1295816486

Title

Owner/President

Phone

(218) 963-2944

Specialties & licenses 1

Addresses

Other names 1

• Smart Chiropractic, P.A. Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Seth Michael Smart, D.C.

  • Chiropractor
  • Brainerd, MN
  • NPI 1295816486
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1952598534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564680689",
            "telephone_number": "218-963-2944",
            "fax_number": "218-963-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19513 STATE HIGHWAY 371",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564017298",
            "telephone_number": "218-963-2944",
            "fax_number": "218-963-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEBAUGH CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "218-963-2944",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Chiropractic, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Lillian Rajala, D.D.S.
• Randall Earl Bundy
• Katherine E Rangen, PHARM D
• Teah Gloria Mae Rardin, OT
• Maria Josephine Rauch, LPN
• Redefyne
• Larry Reed
• Jalita Rene Reeder, RN
• Reflections Therapy and Wellness PLLC
• Angela Remmick

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.