BEMIDJI FAMILY CHIROPRACTIC CENTER
NPI 1205985710
Chiropractor in Bemidji, MN

Active since January 10, 2007
5184 THEATER LANE NW, BEMIDJI, MN 56601(218) 751-8099 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bemidji Family Chiropractic Center NPPES

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

BEMIDJI FAMILY CHIROPRACTIC CENTER (NPI 1205985710) is a healthcare organization registered as a chiropractor in Bemidji, Minnesota and active in the NPI registry since January 2007. The organization lists Matthew John Henriksen, President, as its authorized official.

NPPES Registry Identity

NPI1205985710
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameVITALITY CHIROPRACTIC P.A.
Location Address5184 THEATER LANE NWBemidji, MN 56601
Mailing AddressPo Box 875Bemidji, MN 56619-0875 · (218) 751-8099
Organization SubpartNo
Authorized OfficialMatthew John HenriksenPresident · (218) 751-8099
Enumeration DateJanuary 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205985710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 4890
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.
5184 THEATER LANE NW, Bemidji, MN 56601

Other Names 1

Doing Business AsBemidji Family Chiropractic Center

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)

Bemidji Family Chiropractic Center 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 Bemidji Family Chiropractic Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1891842589
5184 THEATER LANE NW
Bemidji, MN 56601
(218) 751-8099
✔ 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 Vitality Chiropractic P.A.'s NPI number?

The NPI number for Vitality Chiropractic P.A. is 1205985710. It was assigned to this organization in the NPPES registry on January 10, 2007. The provider is doing business as Bemidji Family Chiropractic Center.

Where is Vitality Chiropractic P.A. located?

Vitality Chiropractic P.A. is located at 5184 Theater Lane NW, Bemidji, MN 56601. The listed phone number is (218) 751-8099.

What is Vitality Chiropractic P.A.'s specialty?

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

Is Vitality Chiropractic P.A. enrolled in Medicare?

Yes. Vitality Chiropractic P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitality Chiropractic P.A.?

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

What insurance does Vitality Chiropractic P.A. accept?

Health plans from HealthPartners and Sanford Health Plan list Vitality Chiropractic P.A. 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 Vitality Chiropractic P.A. 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.