Individual provider Active NPI

Ian Swanson, DC

  • Chiropractor
  • Waseca, MN
National Provider Identifier
1992434773
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7000 Issued in MS
Practice address
1800 State St N Ste a
Waseca, MN 56093-2661
Phone
(507) 835-1600
NPI assigned
Jun 7, 2022
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7000 MS Primary

Addresses

Primary practice location

1800 State St N Ste a
Waseca, MN 56093-2661

Mailing address

1800 State St N Ste a
Waseca, MN 56093-2661
Phone (507) 835-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220913001117 MN Practitioner - Chiropractic 2961887831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mairs Chiropractic IncGroup PAC ID 7719157098, 2 clinicians

Practice addresses (Care Compare)

104 22ND Ave NE
Suite 1
Waseca, MN 56093-2641
Phone (507) 835-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7000MSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mairs Chiropractic Inc Chiropractor CurrentSince Aug 30, 2022 Accepting new patients
Precision Chiropractic & Wellness LLC Chiropractor PastSince Jun 12, 2022 Accepting new patients

Locations

104 22nd Ave NE
Ste 1
Waseca, MN 56093
Phone (507) 835-1600

1800 State St N
Ste A
Waseca, MN 56093
Phone (507) 835-1600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1992434773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 STATE ST N STE A",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932661",
            "telephone_number": "507-835-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 STATE ST N STE A",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932661",
            "telephone_number": "507-835-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "IAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "7000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waseca, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.