Organization Active NPI

Westerberg Chiropractic P.a.

  • Chiropractor
  • Cambridge, MN
National Provider Identifier
1972812725
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2137 Issued in MN
Legal business name
WESTERBERG CHIROPRACTIC P.A.
Practice address
135 2ND Ave NW
Cambridge, MN 55008-1102
Phone
(763) 689-0900
NPI assigned
Sep 28, 2010
Last updated
Sep 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Randall Douglas Westerberg, D.C.NPI 1649347741
Title
President
Phone
(763) 689-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2137 MN Primary

Addresses

Primary practice location

135 2ND Ave NW
Cambridge, MN 55008-1102

Mailing address

135 2ND Ave NW
Cambridge, MN 55008-1102
Phone (763) 689-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110209000131 MN Part B Supplier - Clinic/Group Practice 3971783903 Receives reassigned benefits from 1 practitioner
Practice locations: Cambridge, MN

National Provider Directory

National Provider Directory

Locations

135 2nd Ave NW
Cambridge, MN 55008
Phone (763) 689-0900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1972812725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 2ND AVE NW",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081102",
            "telephone_number": "763-689-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 2ND AVE NW",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081102",
            "telephone_number": "763-689-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERBERG CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "WESTERBERG",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-689-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.