Peabody Chiropractic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PEABODY CHIROPRACTIC

Practice address

1000 1St St E
Park Rapids, MN 56470-1827

Phone

(218) 237-1770

NPI assigned

Jul 27, 2007

Last updated

Jul 27, 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

Mindy Peabody

Title

Owner/Chiropractor

Phone

(218) 237-1770

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Mindy C Dewinter, D.C.

  • Chiropractor
  • Park Rapids, MN
  • NPI 1275622474
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1982894754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 1ST ST E",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 1ST ST E",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701827",
            "telephone_number": "218-237-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEABODY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "PEABODY",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "218-237-1770"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD O",
            "identifier": "74B15PE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park Rapids Area Schools
• Park Rapids Chiropractic, LLC
• Park Rapids Family Dental PLLC
• Park Rapids Physical Therapy and Rehabilitation Center Inc
• Park Rapids Walker Eye Clinic OD PA
• Michael Perez, O.D.
• Anthony David Peterson, DPT
• Jonathon R Peterson, PT
• Lisa Petrie
• Chasity Marie Phillips, PA-C

• Clinic/Center in Park Rapids, MN
• Providers in Park Rapids, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.