ST. BONIFACIUS CHIROPRACTIC
NPI 1760966147
Chiropractor in St Bonifacius, MN

Active since September 20, 2018
4080 TOWER ST STE 1080, ST BONIFACIUS, MN 55375(952) 446-1800(952) 446-1801 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 29, 2020, Oct 22, 2018, Sep 20, 2018 (3 updates tracked since 2018).

About St. Bonifacius Chiropractic NPPES

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

ST. BONIFACIUS CHIROPRACTIC (NPI 1760966147) is a healthcare organization registered as a chiropractor in St Bonifacius, Minnesota and active in the NPI registry since September 2018. The organization lists Chase M Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1760966147
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameST BONIFACIUS CHIROPRACTIC L.L.C.
Location Address4080 TOWER ST STE 1080St Bonifacius, MN 55375-1144
Mailing AddressPo Box 268St Bonifacius, MN 55375-0268 · (952) 446-1800 · Fax (952) 446-1801
Fax(952) 446-1801
Organization SubpartNo
Authorized OfficialChase M MartinOwner · (701) 202-5963
Enumeration DateSeptember 20, 2018
Last NPPES UpdateJanuary 29, 20203 updates tracked since enumeration
✔ NPI 1760966147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
4080 TOWER ST STE 1080, St Bonifacius, MN 55375

Other Names 1

Doing Business AsSt. Bonifacius Chiropractic

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)

St. Bonifacius Chiropractic 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 St. Bonifacius Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1972890291
4080 TOWER ST STE 1080
St Bonifacius, MN 55375
(952) 446-1800
Same 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 St Bonifacius Chiropractic L.L.C.'s NPI number?

The NPI number for St Bonifacius Chiropractic L.L.C. is 1760966147. It was assigned to this organization in the NPPES registry on September 20, 2018. The provider is doing business as St. Bonifacius Chiropractic.

Where is St Bonifacius Chiropractic L.L.C. located?

St Bonifacius Chiropractic L.L.C. is located at 4080 Tower St Ste 1080, St Bonifacius, MN 55375. The listed phone number is (952) 446-1800.

What is St Bonifacius Chiropractic L.L.C.'s specialty?

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

Is St Bonifacius Chiropractic L.L.C. enrolled in Medicare?

Yes. St Bonifacius Chiropractic L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Bonifacius Chiropractic L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to St Bonifacius Chiropractic L.L.C.. 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 St Bonifacius Chiropractic L.L.C. accept?

Health plans from HealthPartners list St Bonifacius Chiropractic L.L.C. 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 St Bonifacius Chiropractic L.L.C. was last updated on January 29, 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.