Mitchell Timothy Thilges, DC
Individual provider Active NPI Chiropractor · Ham Lake, MN
NPI 1043083173 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1043083173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 7142 (MN)
- Practice address
- 13352 Aberdeen St NE Unit a
Ham Lake, MN 55304-6877 - Phone
- (763) 786-5585
- NPI assigned
- Oct 31, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rapp Chiropractic LLC
Practice addresses (Care Compare)
15170 Chippendale Ave W
Suite 200
Rosemount, MN 55068-2769
Phone (651) 423-2900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260203003817 | MN | Practitioner - Chiropractic | 9436637055 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7142 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapp Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
| Frach Chiropractic LLC | Chiropractor | Past |
Accepting new patients |
Locations
15170 Chippendale Ave W
Ste 200
Rosemount, MN 55068
Phone (651) 423-2900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7142 | MN | Yes |
Addresses
Primary practice location
13352 Aberdeen St NE Unit a
Ham Lake, MN 55304-6877
Mailing address
13352 Aberdeen St NE Unit a
Ham Lake, MN 55304-6877
Phone (763) 786-5585
Other providers in Ham Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.