Individual provider Active NPI

Palmer Lor Xieng Yang, D.C.

  • Chiropractor
  • Roseville, MN
National Provider Identifier
1073092375
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6530 Issued in MN
Practice address
2345 Rice St Ste 128
Roseville, MN 55113-3720
Phone
(651) 348-2338
Fax
(855) 792-3260
NPI assigned
Aug 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6530 MN Primary

Addresses

Primary practice location

2345 Rice St Ste 128
Roseville, MN 55113-3720

Mailing address

2353 Rice St Ste 112
Roseville, MN 55113-3721
Phone (651) 230-5526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1073092375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 RICE ST STE 112",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133721",
            "telephone_number": "651-230-5526",
            "fax_number": "855-792-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 RICE ST STE 128",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133720",
            "telephone_number": "651-348-2338",
            "fax_number": "855-792-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "PALMER",
        "middle_name": "LOR XIENG",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.