Healthsource of White Bear Lake, PLLC
NPI 1073767372ActiveOrganization· Chiropractor· White Bear Lake, MN
Chiropractor in White Bear Lake, Minnesota, registered in NPPES in November 2008. The authorized official on file is Michael Leo Dixon, DC, Chiropractor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073767372 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2008 |
| Last updated in NPPES | Feb 12, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 5114 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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All 64 chiropractors in White Bear Lake · All chiropractors in Minnesota