Individual provider Active NPI

Patrick Arthur Isaacs, D.C.

  • Chiropractor
  • Rosemount, MN
National Provider Identifier
1073040754
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6407 Issued in MN
Practice address
2930 146TH St W Ste 110
Rosemount, MN 55068-3750
Phone
(651) 463-8222
Fax
(651) 463-8228
NPI assigned
May 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0007560 CO
Chiropractor 111N00000X 6407 MN Primary

Addresses

Primary practice location

2930 146TH St W Ste 110
Rosemount, MN 55068-3750

Mailing address

2930 146TH St W Ste 110
Rosemount, MN 55068-3750
Phone (651) 463-8222

Other practice location 1

2721 S College Ave
Unit 4a
Fort Collins, CO 80525-2199
Phone (970) 988-6756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230322000812 WI Practitioner - Chiropractic 6204106818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern University Feinberg Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Viaro Professional Arts LTD Health CareGroup PAC ID 2163894379, 4 clinicians

Practice addresses (Care Compare)

230 Pine St
La Crosse, WI 54601-3481
Phone (608) 668-2103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0007560COMDAddiction (Substance Use Disorder) Counselor
6407MNMDPhysical Therapist
5449WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Viaro LLC CurrentSince Jan 1, 2023 Accepting new patients
Viaro Professional Arts LTD Health Care CurrentSince Jan 1, 2023 Accepting new patients
Healthpro Chiropractic Burnsville PC Chiropractor PastSince Feb 16, 2020 Accepting new patients
Weber Health Logistics, LLC PastSince Feb 25, 2024 Accepting new patients

Locations

232 3rd St N
Ste 203
La Crosse, WI 54601
Phone (608) 668-2103

230 Pine St
La Crosse, WI 54601
Phone (608) 668-2103

333 Front St N
Ste 700
La Crosse, WI 54601

Interoperability endpoints

  • Direct secure messaging: patrick.isaacs.1@29082.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073040754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 146TH ST W STE 110",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550683750",
            "telephone_number": "651-463-8222",
            "fax_number": "651-463-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 146TH ST W STE 110",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550683750",
            "telephone_number": "651-463-8222",
            "fax_number": "651-463-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2721 S College Ave",
            "address_2": "UNIT 4A",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805252199",
            "country_code": "US",
            "telephone_number": "970-988-6756",
            "fax_number": "970-377-2251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "PATRICK",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0007560",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemount, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.