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WARROAD CHIROPRACTIC CLINIC, P.A.
NPI 1053613067
Chiropractor in Warroad, MN

Active since November 23, 2010
203 STATE AVE SW, WARROAD, MN 56763(218) 386-3112(218) 386-2028 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Warroad Chiropractic Clinic, P.a. NPPES

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

WARROAD CHIROPRACTIC CLINIC, P.A. (NPI 1053613067) is a healthcare organization registered as a chiropractor in Warroad, Minnesota and active in the NPI registry since November 2010. The organization lists David Verworn, Owner, as its authorized official.

NPPES Registry Identity

NPI1053613067
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWARROAD CHIROPRACTIC CLINIC, P.A.
Location Address203 STATE AVE SWWarroad, MN 56763-2621
Mailing AddressPo Box 636Warroad, MN 56763-0636 · (218) 386-3112 · Fax (218) 386-2028
Phone(218) 386-3112
Fax(218) 386-2028
Organization SubpartNo
Authorized OfficialDavid VerwornOwner · (218) 386-3112
Enumeration DateNovember 23, 2010
Last NPPES UpdateApril 18, 2012
✔ NPI 1053613067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 2515
Definition
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.
203 STATE AVE SW, Warroad, MN 56763
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Other Identifiers 4

Medicare PIN1164564159MN
Medicaid341328400MN
Medicare PINC09031MN
Medicare PIN1053613067MN

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Warroad Chiropractic Clinic, P.a. 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 Warroad Chiropractic Clinic, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

David Verworn, DC
Chiropractic
NPI 1164564159
203 STATE AVE S
Warroad, MN 56763
(218) 386-3112
✔ 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 Warroad Chiropractic Clinic, P.A.'s NPI number?

The NPI number for Warroad Chiropractic Clinic, P.A. is 1053613067. It was assigned to this organization in the NPPES registry on November 23, 2010.

Where is Warroad Chiropractic Clinic, P.A. located?

Warroad Chiropractic Clinic, P.A. is located at 203 State Ave SW, Warroad, MN 56763. The listed phone number is (218) 386-3112.

What is Warroad Chiropractic Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Warroad Chiropractic Clinic, P.A. enrolled in Medicare?

Yes. Warroad Chiropractic Clinic, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Warroad Chiropractic Clinic, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Warroad Chiropractic Clinic, P.A.. 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.

When was this NPI record last updated?

The NPPES record for Warroad Chiropractic Clinic, P.A. was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.