Active NPI
Andrew William Ulvin, D.C.
- Chiropractor
- Taylors Falls, MN
National Provider Identifier
1083798375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3840
- Practice address
- 397 Bench St.
Taylors Falls, MN 55084-0237 - Phone
- (651) 465-3190
- Fax
- (651) 344-6025
- NPI assigned
- Oct 24, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3840 | MN | Primary |
Addresses
Primary practice location
397 Bench St.
Taylors Falls, MN 55084-0237
Mailing address
PO Box 298
P.O. Box 237
Stacy, MN 55079-0298
Phone (651) 462-3243
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4488447 | Other | MN | MEDICA |
| 79229 | Other | MN | HEALTH PARTNERS |
| 350052900 | Other | MN | MEDICARE RAILROAD |
| 4292979-00 | Medicaid | MN | |
| 077J3TA | Other | MN | BLUE CROSS BLUE SHEILD |
| 38939600 | Medicaid | MN | |
| U85229 | Other | MN | HEALTH EOS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
30962 Fenway Ave
Suite 400
Stacy, MN 55079-5039
Phone (651) 462-3243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3840 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew W Ulvin Dcpa | Chiropractor | Current | Accepting new patients |
| Weierke Chiropractic PA | Chiropractor | Past | Accepting new patients |
| Taylors Falls Chiropractic Office LTD | Past | Accepting new patients |
Locations
30962 Fenway Ave
Ste 400
Stacy, MN 55079
Phone (651) 462-3243
397 Bench St
Taylors Falls, MN 55084
Phone (651) 319-1337
Organizations & group practices 3
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.
-
- Chiropractor
- Stacy, MN
- NPI 1154639854
-
- Exclusive Provider Organization
- Oak Park Heights, MN
- NPI 1174826663
-
- Chiropractor
- Taylors Falls, MN
- NPI 1568876993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1083798375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 298",
"address_2": "P.O. BOX 237",
"city": "STACY",
"state": "MN",
"postal_code": "550790298",
"telephone_number": "651-462-3243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 BENCH ST.",
"city": "TAYLORS FALLS",
"state": "MN",
"postal_code": "550840237",
"telephone_number": "651-465-3190",
"fax_number": "651-344-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULVIN",
"first_name": "ANDREW",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "4488447",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "79229",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "350052900",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4292979-00",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "077J3TA",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38939600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH EOS",
"identifier": "U85229",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taylors Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.