Active NPI
Thomas David Ronning, DC
- Rehabilitation Chiropractor
- Long Lake, MN
National Provider Identifier
1083033658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 5912
- Practice address
- 1850 W Wayzata Blvd
Long Lake, MN 55356-9491 - Phone
- (952) 476-2260
- Fax
- (952) 476-4457
- NPI assigned
- Apr 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 5912 | MN | Primary |
Addresses
Primary practice location
1850 W Wayzata Blvd
Long Lake, MN 55356-9491
Mailing address
1850 W Wayzata Blvd
Long Lake, MN 55356-9491
Phone (952) 476-2260
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic First | Rehabilitation | Past | Accepting new patients |
Organizations & group practices 1
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": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1083033658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 W WAYZATA BLVD",
"city": "LONG LAKE",
"state": "MN",
"postal_code": "553569491",
"telephone_number": "952-476-2260",
"fax_number": "952-476-4457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 W WAYZATA BLVD",
"city": "LONG LAKE",
"state": "MN",
"postal_code": "553569491",
"telephone_number": "952-476-2260",
"fax_number": "952-476-4457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONNING",
"first_name": "THOMAS",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-10",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MN",
"license": "5912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.