1. Home
  2. Directory
  3. Minnesota
  4. Nisswa
  5. Chiropractor
  6. NPI Profile

JOHN CHARLES REDEBAUGH D.C.
NPI 1164512646
Chiropractor in Nisswa, MN

Active since October 13, 2006
5314 NISSWA AVE, NISSWA, MN 56474(218) 963-2944(219) 963-0899 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Charles Redebaugh D.c. NPPES

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

JOHN CHARLES REDEBAUGH D.C. (NPI 1164512646) is an individual chiropractor in Nisswa, Minnesota, licensed in Minnesota (1512) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1164512646
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJOHN CHARLES REDEBAUGHCredential: D.C.
Location Address5314 NISSWA AVENisswa, MN 56474
Mailing AddressPo Box 689Nisswa, MN 56468-0689 · (218) 963-2944 · Fax (218) 963-0899
Phone(218) 963-2944
Fax(219) 963-0899
Sole ProprietorYes
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164512646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 1512
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.
5314 NISSWA AVE, Nisswa, MN 56474
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINT66040MN

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 John Redebaugh's NPI number?

The NPI number for John Redebaugh is 1164512646. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is John Redebaugh located?

John Redebaugh practices at 5314 Nisswa Ave, Nisswa, MN 56474. The listed phone number is (218) 963-2944.

What is John Redebaugh's specialty?

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

When was this NPI record last updated?

The NPPES record for John Redebaugh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.