PINE CITY CHIROPRACTIC PLLC
NPI 1801495957
Chiropractor in Pine City, MN

NPI Status: Active since October 20, 2020

Contact Information

805 MAIN ST S
PINE CITY, MN
ZIP 55063
Phone: (320) 629-5288
Fax: (320) 629-5289

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  • Organization
  • Chiropractor
  • Accepts Insurance
  • CLIA Number: 25D0858882
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 08-31-2026

About PINE CITY CHIROPRACTIC PLLC

This page provides the complete NPI Profile along with additional information for Pine City Chiropractic Pllc, a provider established in Pine City, Minnesota operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1801495957 assigned on October 2020. The practitioner's primary taxonomy code is 111N00000X. The provider is registered as an organization and their NPI record was last updated one year 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 provider's . The authorized official of this NPI record is Jessica Obermaier (Poc)

NPI
1801495957
Provider Legal Name
PINE CITY CHIROPRACTIC PLLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
805 MAIN ST S PINE CITY, MN 55063
Location Phone
(320) 629-5288
Location Fax
(320) 629-5289
Mailing Address
805 MAIN ST S PINE CITY, MN 55063
Mailing Phone
(320) 629-5288
Mailing Fax
(320) 629-5289
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2020
Last Update Date
07-18-2025
Code Navigator

A chiropractor like Pine City Chiropractic Pllc 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
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

JESSICA OBERMAIER

Authorized Official Title
POC
Authorized Official Phone
(320) 629-5288

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
25D0858882
Facility Type
School/Student Health Service
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
KARRIEANN KAMPPI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pine City Chiropractic Pllc 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 1801495957, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
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 0 → 0 4 → 8 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 8 + 9 + 1 + 0 + 9 + 1 + 0 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1801495957.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Chiropractor
805 MAIN ST S
PINE CITY, MN 55063
Acupuncturist
805 MAIN ST S
PINE CITY, MN 55063
Clinic/Center (Rural Health)
805 MAIN ST S
PINE CITY, MN 55063
Chiropractor
805 MAIN ST S
PINE CITY, MN 55063
Clinic/Center (Health Service)
805 MAIN ST S
PINE CITY, MN 55063
Chiropractor
805 MAIN ST S
PINE CITY, MN 55063
Chiropractor
805 MAIN ST S
PINE CITY, MN 55063

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801495957, enumerated as an "organization" on October 20, 2020.

The provider is located at 805 MAIN ST S PINE CITY, MN 55063 and the phone number is (320) 629-5288.

Chiropractor with taxonomy code 111N00000X.

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