Elite Health Chiropractic Center, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4536 Issued in MN

Legal business name

ELITE HEALTH CHIROPRACTIC CENTER, PLLC

Practice address

205 S Carver St
Winthrop, MN 55396-2396

Phone

(507) 647-3700

NPI assigned

Oct 19, 2007

Last updated

Oct 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Greg A Mortensen, D.C.

Title

President

Phone

(507) 647-3700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Mark Greggery August Mortensen, D.C.

  • Chiropractor
  • Winthrop, MN
  • NPI 1972558195
  Medicare reassignment NPD

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1982893467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "address_2": "205 NORTH CARVER STREET",
            "city": "WINTHROP",
            "state": "MN",
            "postal_code": "553960175",
            "telephone_number": "507-647-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S CARVER ST",
            "city": "WINTHROP",
            "state": "MN",
            "postal_code": "553962396",
            "telephone_number": "507-647-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTH CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-647-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allina Health System (Winthrop Area Clinic - New Ulm Medical Center)
• Ellen Anderson, PHARMD
• David John Bengtson, DDS
• Community Asset Foundation, LLC (The Lodge of Winthrop)
• Katie Marie Haefs, RN
• Lowell Francis Kavan, DC
• Laura Miller, RN
• Minnesota Drug Acquisition Co LLC (Hanson Drug)
• Mark Greggery August Mortensen, D.C.

• Chiropractor in Winthrop, MN
• Providers in Winthrop, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.