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Deactivated NPI 1053403006 Deactivated / Inactive NPI Male Practitioner

Dr. Kris Blaine Lastine , DC

Chiropractor • Marshall, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kris Lastine has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 28, 2006
NPI Deactivation Date June 19, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Kris Lastine, DC was a registered Chiropractor practicing in Marshall, MN. Throughout an active medical career spanning 19 years, Dr. Lastine provided care at the practice location at 1411 E COLLEGE DR until profile deactivation on 2025-06-19.

Practice Location & Contact Primary Location

Practice Address

1411 E College Dr
Ste 4

Marshall, MN 56258

Telephone 5075371475
Fax 5075379498
Associated Practice Facility / Clinic
🏢 Lastine Chiropractic Pc Facility NPI 1477837391

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Marshall, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.8 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
24 Specialists

Practicing in Marshall, MN (3487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MN 2194

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Jennie Smith , RN

Registered Nurse

NPI 1376959619

Registered Nurse

Laura Roxberg

Registered Nurse

NPI 1518263771
Alyssa Klukas , RN

Registered Nurse

NPI 1699169938

Registered Nurse

Randell Henderson , RN

Registered Nurse - Case Management

NPI 1821495995

Registered Nurse

NPI 1861732844

RNCASEMANAGER

Sandra Ellingboe

Licensed Practical Nurse

NPI 1902188550

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 19, 2025

Record deactivated on June 19, 2025

NPI Profile Active April 02, 2013

NPI status registered as active in NPPES database

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Updated Practice Location April 02, 2013

Registered at 1411 E COLLEGE DR, STE 4, MARSHALL, MN 56258 (Tel: 5075371475)

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Updated Business Mailing Address April 02, 2013

Registered at 1411 E COLLEGE DR, STE 4, MARSHALL, MN 56258 (Tel: 5075371475)

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Provider Name / Credentials Updated April 02, 2013

Recorded as KRIS LASTINE, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2013

Chiropractor (License #2194 in MN)

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Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053403006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: April 02, 2013
Deactivation Date: June 19, 2025

Mailing Address

1411 E College Dr, Ste 4

Marshall, MN 56258

Phone: 5075371475

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.