Aaron Antony
Individual provider Active NPI Chiropractor · Baxter, MN
NPI 1972076909 · NPPES record last updated Jan 2, 2019
Key facts
- NPI
- 1972076909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 6578 (MN)
- Practice address
- 7656 Design Rd Ste 100
Baxter, MN 56425-8676 - Phone
- (218) 454-9355
- NPI assigned
- Jan 2, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regenerative Medical Management
Practice addresses (Care Compare)
7818 Excelsior Rd
Baxter, MN 56425-8427
Phone (218) 450-4045
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190128000623 | MN | Practitioner - Chiropractic | 8022355163 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6578 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brainerd Lakes Wellness, PC | Chiropractor | Current |
Accepting new patients |
| Regenerative Medical Management | Current |
Accepting new patients | |
| Midwest Family Eye Center PA | Past | Accepting new patients |
Locations
7818 Excelsior Rd
Ste 200
Baxter, MN 56425
Phone (218) 270-9922
7818 Excelsior Rd
Baxter, MN 56425
Phone (218) 450-4045
7818 Excelsior Rd
Ste 100
Baxter, MN 56425
Phone (218) 454-9355
7656 Design Rd
Ste 100
Baxter, MN 56425
Phone (218) 454-9355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6578 | MN | Yes |
Addresses
Primary practice location
7656 Design Rd Ste 100
Baxter, MN 56425-8676
Mailing address
7656 Design Rd Ste 100
Baxter, MN 56425-8676
Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.