CROW WING CHIROPRACTIC PC
NPI 1154741288
Chiropractor in Baxter, MN

NPI Status: Active since April 16, 2014

Contact Information

15229 EDGEWOOD DR STE 125
BAXTER, MN
ZIP 56401
Phone: (218) 205-1908

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  • Organization
  • Chiropractor
  • Accepts Insurance
  • CLIA Number: 24D0651655
  • CLIA Cert. Type: Public Health Laboratories
  • CLIA Exp. Date: 07-04-2026

About CROW WING CHIROPRACTIC PC

This page provides the complete NPI Profile along with additional information for Crow Wing Chiropractic Pc, a provider established in Baxter, Minnesota operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1154741288 assigned on April 2014. The practitioner's primary taxonomy code is 111N00000X with license number 5700 (MN). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Jedediah Moore D.c. (Chiropractor)

NPI
1154741288
Provider Name
CROW WING CHIROPRACTIC PC
Entity Type
Organization
Location Address
15229 EDGEWOOD DR STE 125 BAXTER, MN 56401
Location Phone
(218) 205-1908
Mailing Address
15229 EDGEWOOD DR STE 125 BAXTER, MN 56425
Mailing Phone
(218) 454-2840
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-16-2014
Last Update Date
06-04-2014
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A chiropractor like Crow Wing Chiropractic Pc helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
License No.
5700
License State
MN
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JEDEDIAH MOORE D.C.

Authorized Official Title
CHIROPRACTOR
Authorized Official Phone
(218) 205-1908

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D0651655
Facility Type
Public Health Laboratories
Certificate Effective Date
July 05, 2024
Certificate Expiration Date
July 04, 2026
Laboratory Director
GINA HEYER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Crow Wing Chiropractic Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154741288, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 4 + 4 + 2 + 2 + 1 + 6 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1154741288.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154741288, enumerated as an "organization" on April 16, 2014.

The provider is located at 15229 EDGEWOOD DR STE 125 BAXTER, MN 56401 and the phone number is (218) 205-1908.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.