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: 07-06-2025
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 3 years ago. Team Care Clinic operates as a multi-specialty business group with one or more individual providers 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 $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - 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, 2023
- Certificate Expiration Date
- July 06, 2025
- 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 5 | 7 | 4 | 5 | 8 | 6 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 8 | 5 | 16 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 8 + 5 + 1 + 6 + 6 + 1 + 6 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1457458689 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164426607 | DR. JAY PATRICK BERTSCH D.C. Individual | Chiropractor | 12217 CHAMPLIN DR CHAMPLIN, MN 55316 (763) 323-1492 |
| 1437154671 | DR. TIMOTHY THOMAS BERTSCH DC Individual | Chiropractor (Internist) | 12217 CHAMPLIN DR CHAMPLIN, MN 55316 (763) 323-1492 |
| 1609056902 | CHERI M NELSON Individual | Massage Therapist | 12217 CHAMPLIN DR CHAMPLIN, MN 55316 (763) 323-1492 |
| 1790803187 | MARIA EYBERG PT Individual | Physical Therapist | 12217 CHAMPLIN DR CHAMPLIN, MN 55316 (763) 323-1492 |
| 1295731503 | DR. JOSEPH ALAN BERTSCH DC Individual | Chiropractor | 12217 CHAMPLIN DR CHAMPLIN, MN 55316 (763) 323-1492 |
| 1518416247 | ERIK STARR DC Individual | Chiropractor | 12217 CHAMPLIN DR CHAMPLIN, MN 55316 (763) 323-1492 |
| 1578007571 | TIFFANY WATSON CNP Individual | Nurse Practitioner (Family) | 12217 CHAMPLIN DR CHAMPLIN, MN 55316 (763) 323-1492 |
| 1508953126 | ANDREA NEWPORT PT Individual | Physical Therapist | 12217 CHAMPLIN DR CHAMPLIN, MN 55316 (763) 323-1492 |
| 1588755391 | ANNE ADIX PT Individual | Physical Therapist | 12217 CHAMPLIN DR CHAMPLIN, MN 55316 (763) 323-1492 |
| 1215409206 | DR. HALEY ANN PAROCHKA DC Individual | Chiropractor | 12217 CHAMPLIN DR CHAMPLIN, MN 55316 (763) 323-1492 |
| 1861215626 | DR. KALEB STREIT DC Individual | Chiropractor | 12217 CHAMPLIN DR CHAMPLIN, MN 55316 (612) 239-5331 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457458689, enumerated in the NPI registry 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
This medical organization specializes in Chiropractor with taxonomy code 111N00000X
The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 24D0962516 for a "independent" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on September 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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