DR. MICHAEL JOHN MODICH D.C.
NPI 1114237013
Chiropractor in Side Lake, MN

Active since October 14, 2010Accepts Medicare Assignment
7636 PINE TREE RD, SIDE LAKE, MN 55781(218) 969-4928 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael John Modich D.c. NPPES

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

DR. MICHAEL JOHN MODICH D.C. (NPI 1114237013) is an individual chiropractor in Side Lake, Minnesota, licensed in Minnesota (5322) and active in the NPI registry since October 2010. He is a graduate of Northwestern College Of Chiropractic (2009).

NPPES Registry Identity

NPI1114237013
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MICHAEL JOHN MODICHCredential: D.C.
Location Address7636 PINE TREE RDSide Lake, MN 55781-8441
Mailing Address7636 Pine Tree RdSide Lake, MN 55781-8441 · (218) 969-4928
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 2009
Enumeration DateOctober 14, 2010
NPI 1114237013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 5322
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.
7636 PINE TREE RD, Side Lake, MN 55781

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael John Modich D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597919027
PECOS Enrollment IDI20130409000169

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
1,193 services54 patients

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 Michael Modich's NPI number?

The NPI number for Michael Modich is 1114237013. It was assigned to this individual provider in the NPPES registry on October 14, 2010.

Where is Michael Modich located?

Michael Modich practices at 7636 Pine Tree Rd, Side Lake, MN 55781. The listed phone number is (218) 969-4928.

What is Michael Modich's specialty?

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

Is Michael Modich enrolled in Medicare?

Yes. Michael Modich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Modich accept?

Health plans from HealthPartners and Medica list Michael Modich 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 Michael Modich was last updated on October 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.