Organization Active NPI

Midthune Chiropractic PA

  • Chiropractor
  • Moorhead, MN
National Provider Identifier
1962509166
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
691 Issued in MN
Legal business name
MIDTHUNE CHIROPRACTIC PA
Practice address
819 30TH Ave S
Suite 102
Moorhead, MN 56560-5005
Phone
(218) 284-3030
Fax
(218) 284-3032
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nicholas Midthune, DC
Title
President
Phone
(218) 284-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 691 MN Primary

Addresses

Primary practice location

819 30TH Ave S
Suite 102
Moorhead, MN 56560-5005

Mailing address

819 30TH Ave S
Suite 102
Moorhead, MN 56560-5005
Phone (218) 284-3030

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962509166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 30TH AVE S",
            "address_2": "SUITE 102",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605005",
            "telephone_number": "218-284-3030",
            "fax_number": "218-284-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 30TH AVE S",
            "address_2": "SUITE 102",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605005",
            "telephone_number": "218-284-3030",
            "fax_number": "218-284-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTHUNE CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIDTHUNE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-284-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "691",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.