David William Mitteness, DC
Individual provider Active NPI Chiropractor · Morris, MN
NPI 1972616415 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972616415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2570 (MN)
- Practice address
- 307 Atlantic Ave
Morris, MN 56267-1322 - Phone
- (320) 589-1208
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2570 | MN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2570 | MN | Yes |
Addresses
Primary practice location
307 Atlantic Ave
Morris, MN 56267-1322
Mailing address
307 Atlantic Ave
Morris, MN 56267-1322
Phone (320) 589-1208
Other providers in Morris, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- 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.