ANNANDALE FAMILY AND SPORTS CHIROPRACTIC
NPI 1023236874
Chiropractor - Sports Physician in Annandale, MN

Active since April 24, 2007
300 PARK STREET, ANNANDALE, MN 55302(320) 274-3060(320) 274-5605 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Annandale Family And Sports Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNANDALE FAMILY AND SPORTS CHIROPRACTIC (NPI 1023236874) is a healthcare organization registered as a sports physician in Annandale, Minnesota and active in the NPI registry since April 2007. The organization lists Mitchell Ralph Uecker, Doctor-owner, as its authorized official.

NPPES Registry Identity

NPI1023236874
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameANNANDALE FAMILY AND SPORTS CHIROPRACTIC
Location Address300 PARK STREETAnnandale, MN 55302
Mailing Address300 Park StreetAnnandale, MN 55302 · (320) 274-3060 · Fax (320) 274-5605
Fax(320) 274-5605
Organization SubpartNo
Authorized OfficialMitchell Ralph UeckerDoctor-owner · (320) 274-3060
Enumeration DateApril 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1023236874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in MN · 4274
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
300 PARK STREET, Annandale, MN 55302

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annandale Family And Sports Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Annandale Family And Sports Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1720073695
300 PARK ST E
Annandale, MN 55302
(320) 274-3060
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annandale Family And Sports Chiropractic's NPI number?

The NPI number for Annandale Family And Sports Chiropractic is 1023236874. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Annandale Family And Sports Chiropractic located?

Annandale Family And Sports Chiropractic is located at 300 Park Street, Annandale, MN 55302. The listed phone number is (320) 274-3060.

What is Annandale Family And Sports Chiropractic's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Annandale Family And Sports Chiropractic enrolled in Medicare?

Yes. Annandale Family And Sports Chiropractic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Annandale Family And Sports Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Annandale Family And Sports Chiropractic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Annandale Family And Sports Chiropractic accept?

Health plans from HealthPartners list Annandale Family And Sports Chiropractic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Annandale Family And Sports Chiropractic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.