Organization Active NPI

Prairie Chiropractic

  • Chiropractor
  • Wabasso, MN
National Provider Identifier
1972810158
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5403 Issued in MN
Legal business name
PRAIRIE CHIROPRACTIC
Practice address
134 Highway 68
Wabasso, MN 56293
Phone
(507) 342-2004
Fax
(507) 342-2005
NPI assigned
Sep 9, 2010
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Ann Benedict, D.C.
Title
Owner
Phone
(507) 342-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5403 MN Primary

Addresses

Primary practice location

134 Highway 68
Wabasso, MN 56293

Mailing address

134 Highway 68
Wabasso, MN 56293
Phone (507) 342-2004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1972810158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HIGHWAY 68",
            "city": "WABASSO",
            "state": "MN",
            "postal_code": "56293",
            "telephone_number": "507-342-2004",
            "fax_number": "507-342-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HIGHWAY 68",
            "city": "WABASSO",
            "state": "MN",
            "postal_code": "56293",
            "telephone_number": "507-342-2004",
            "fax_number": "507-342-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "BENEDICT",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-342-2004",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wabasso, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.