Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477622132 Individual Practitioner Male Practitioner

Dr. Michael John Bothof , DC

Chiropractor • Prior Lake, MN

Professional Overview & Biography Verified Profile Summary

Dr. Michael Bothof, DC is a registered healthcare professional specializing in Chiropractor in Prior Lake, MN. Practice services are available at 16154 MAIN AVE SE STE 134A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16154 Main Ave Se Ste 134a

Prior Lake, MN 553724815

Telephone 9524473000
Fax 9524473561
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Prior Lake, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.1 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
21 Specialists

Practicing in Prior Lake, 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 3631

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
642613100 (MN)
Commercial Insurance / Payer ID Medica Provider #
44-02426 (MN)
Commercial Insurance / Payer ID Blue Cross Blue Shield Mn
870G2BO (MN)
Commercial Insurance / Payer ID Health Partners Id#
HP58905 (MN)
Commercial Insurance / Payer ID Medica
44-02425 (MN)
Commercial Insurance / Payer ID Acn Chirocare
640618 (MN)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1225108905

Doctor of Chiropractic

NPI 1295534691

Doctor of Physical Therapy

Kimberly Churchill

Social Worker - Clinical

NPI 1568384576
Kimberly West

Counselor - Mental Health

NPI 1942176409

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 24, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2008

Registered at 16154 MAIN AVE SE STE 134A, PRIOR LAKE, MN 553724815 (Tel: 9524473000)

📍
Updated Business Mailing Address June 24, 2008

Registered at 16298 HARMONY PATH, LAKEVILLE, MN 550446310 (Tel: 9529534740)

👤
Provider Name / Credentials Updated June 24, 2008

Recorded as MICHAEL BOTHOF, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2008

Chiropractor (License #3631 in MN)

🟢
Initial NPI Registration & Enumeration November 07, 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: 1477622132
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2006
Last Update: June 24, 2008
Sole Proprietor: No

Mailing Address

16298 Harmony Path

Lakeville, MN 550446310

Phone: 9529534740

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.