DMR CLINIC ROGERS LLC (NPI# 1356892285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356892285 |
| Entity Type | Organization |
| Organization Name | DMR CLINIC ROGERS LLC |
| Practice Address |
13690 Rogers Dr Suite 180 Rogers MN 55374-4898 |
| Practice Telephone | 6126709026 |
| Mailing Telephone | 6126709026 |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2016-12-31 |
| Authorized Official Name | DR. MICHLYNN HEIDE (CHIROPRACTOR) |
| Authorized Official Telephone | 6126709026 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5257 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE ID | 350004449 | 01 |
| Street Address |
13690 ROGERS DR SUITE 180 |
| City | ROGERS |
| State | MN |
| Zip Code | 55374-4898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335835 | Rebecca Loehrer | Nurse Practitioner | 21370 Ste 210 John Milless Dr., Rogers, MN 55374 | 2019-03-18 |
| 1255722328 | Samantha Colai | Marriage & Family Therapist | 21307 John Milless Drive, Suite 106, Rogers, MN 55374 | 2015-02-11 |
| 1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
| 1295145886 | Marisa Kolasa | Massage Therapist | 22290 Oakdale Drive, Rogers, MN 55374 | 2014-05-05 |
| 1871878165 | Derek P Doty Dc Inc | Chiropractor | 21410 136th Ave N, Suite 105a, Rogers, MN 55374 | 2011-10-18 |
| 1912205865 | Michelle Cheryl Finnegan-larson | Registered Nurse | 21308 John Milless Drive, Rogers, MN 55374 | 2011-03-02 |
| 1639402571 | Ascend Family Institute | Community/Behavioral Health | 20980 Rogers Drive, #400, Rogers, MN 55374 | 2009-09-10 |
| 1275738403 | Nicole M Clements | Physician Assistant | 1355 Rogers Drive, Rogers, MN 55374 | 2007-06-18 |
| 1558566166 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 21455 John Milless Drive, Rogers, MN 55374 | 2007-06-15 |
| 1811062854 | Randall Alvin Hohbein | Pharmacist | 21351 John Milless Drive, Rogers Drug, Rogers, MN 55374 | 2006-11-22 |
| Find all providers in zip 55374 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134693583 | Michael Ryan Warren | Chiropractor | 4805 W Highland Knolls Rd Ste 200, Rogers, AR 72758-7027 | 2019-01-18 |
| 1255817839 | Anchor Chiropractic PC | Chiropractor | 20965 S Diamond Lake Rd Ste 108, Rogers, MN 55374-4821 | 2018-07-17 |
| 1811438278 | Marcus Kasper | Chiropractor | 13600 Commerce Blvd, Rogers, MN 55374-4558 | 2017-03-17 |
| 1316489628 | Eric Gregory Knudson | Chiropractor | 21897 S Diamond Lake Rd, Ste 700, Rogers, MN 55374-4642 | 2016-11-17 |
| 1972970960 | Hayley Mitchell | Chiropractor | 3201 S Market St, Suite 105, Rogers, AR 72758-8112 | 2015-08-26 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1871878165 | Derek P Doty Dc Inc | Chiropractor | 21410 136th Ave N, Suite 105a, Rogers, MN 55374 | 2011-10-18 |
| 1194003772 | William Tyson Austin | Chiropractor | 5204 Village Pkwy, Suite 8, Rogers, AR 72758-8104 | 2011-07-29 |
| 1598065344 | Rogers Back To Health Chiropractic | Chiropractor | 2502 W Olive St, Rogers, AR 72756-3170 | 2010-10-27 |
| 1538469382 | Josh Michael Rowden | Chiropractor | 5300 S Southern Hills Ct Ste 200, Rogers, AR 72758-3500 | 2010-10-27 |
| Find all providers in ROGERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.