Active NPI
David William Mitteness, DC
- Chiropractor
- Morris, MN
National Provider Identifier
1972616415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2570
- Practice address
- 307 Atlantic Ave
Morris, MN 56267-1322 - Phone
- (320) 589-1208
- NPI assigned
- Aug 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2570 | MN | Primary |
Addresses
Primary practice location
307 Atlantic Ave
Morris, MN 56267-1322
Mailing address
307 Atlantic Ave
Morris, MN 56267-1322
Phone (320) 589-1208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
307 Atlantic Ave
Morris, MN 56267-1322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2570 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972616415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 ATLANTIC AVE",
"city": "MORRIS",
"state": "MN",
"postal_code": "562671322",
"telephone_number": "320-589-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 ATLANTIC AVE",
"city": "MORRIS",
"state": "MN",
"postal_code": "562671322",
"telephone_number": "320-589-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTENESS",
"first_name": "DAVID",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morris, MN
- Elizabeth Meichsner, M.D.
- Connor Metzger
- June Meyerhoff, PSYD, LP
- Midwest Special Education Cooperative #5-398
- Midwest Vision Centers, Inc (Midwest Vision Centers)
- Richard Hugh Moen, DDS
- Allen Monroe
- Morris Area Public Schools Isd 769
- Morris Chiropractic Clinic, Chartered (HealthSource of Morris)
- Morris Dental Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.