TEAM CARE CLINIC
NPI 1457458689
Chiropractor in Champlin, MN
NPI Status: Active since September 20, 2006
Contact Information
12217 CHAMPLIN DR
CHAMPLIN, MN
ZIP 55316
Phone: (763) 323-1492
Fax: (763) 422-1657
- Organization
- Chiropractor
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 24D0962516
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 07-06-2027
About TEAM CARE CLINIC
This page provides the complete NPI Profile along with additional information for Team Care Clinic, a provider established in Champlin, Minnesota operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1457458689 assigned on September 2006. The practitioner's primary taxonomy code is 111N00000X with license number 2766 (MN). The provider is registered as an organization and their NPI record was last updated 4 years ago. Team Care Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Team Care Clinic. The authorized official of this NPI record is Joseph Alan Bertsch (Ceo)
- NPI
- 1457458689
- Provider Legal Name
- TEAM HEALTH CARE CLINIC PC
- Other Organization Name
- TEAM CARE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12217 CHAMPLIN DR CHAMPLIN, MN 55316
- Location Phone
- (763) 323-1492
- Location Fax
- (763) 422-1657
- Mailing Address
- 12217 CHAMPLIN DR CHAMPLIN, MN 55316
- Mailing Phone
- (763) 323-1492
- Mailing Fax
- (763) 422-1657
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-20-2006
- Last Update Date
- 11-16-2022
- Code Navigator
A chiropractor like Team Care Clinic 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.
Team Care Clinic is a medicare supplier with PTAN 20659025 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.
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.
- 2766
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 111N00000X | Chiropractic Providers | Chiropractor | 2767 (MN) |
| 2 | 111N00000X | Chiropractic Providers | Chiropractor | |
| 3 | 111NI0900X | Chiropractic Providers | Chiropractor | 2076 (MN) |
| 4 | 174400000X | Other Service Providers | Specialist | 5938 (MN) |
| 5 | 174400000X | Other Service Providers | Specialist | 6548 (MN) |
| 6 | 207QS0010X | Allopathic & Osteopathic Physicians | Family Medicine | 34627 (MN) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20659025
- Accepts Medicare Assignment
- YES
- Specialities List
- MSC With Orthotic Personnel.
- Competitive Bidding
- NO
Supplies List
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
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
- 24D0962516
- Facility Type
- Independent
- Certificate Effective Date
- July 07, 2025
- Certificate Expiration Date
- July 06, 2027
- Laboratory Director
- RICHARD LEACH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Team Care Clinic 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 1457458689, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457458689, enumerated as an "organization" on September 20, 2006.
The provider is located at 12217 CHAMPLIN DR CHAMPLIN, MN 55316 and the phone number is (763) 323-1492.
Chiropractor with taxonomy code 111N00000X.
The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.
