Daniel Holm Evanson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

C4302 Issued in MN

Practice address

14750 Cedar Ave
Suite 104
Apple Valley, MN 55124-4506

Phone

(952) 431-3133

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Daniel Evanson Inc.

  • Chiropractor
  • Apple Valley, MN
  • NPI 1912112855
  Medicare reassignment NPD Authorized official
• Life Wellness Center-Eagan, PA

  • General Practice Physician
  • Eagan, MN
  • NPI 1699106773

  Chiropractor

  NPD (past)
• Life Wellness Center, Inc.

  • General Practice Physician
  • Lakeville, MN
  • NPI 1083646889

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1124049580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 147TH ST W",
            "address_2": "STE 104",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247809",
            "telephone_number": "952-431-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 CEDAR AVE",
            "address_2": "SUITE 104",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244506",
            "telephone_number": "952-431-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANSON",
        "first_name": "DANIEL",
        "middle_name": "HOLM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "C4302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CLINIC ID",
            "identifier": "349C7HA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IND. ID",
            "identifier": "349C8EV",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erickson/Aamodt Orthodontics PA
• Eriksmoen Cottages, LTD.
• Chelsi Sayword Esqueda, DNP
• Essential Health Chiropractic, P.a.
• Alexa Eul, DO
• Marven G Ewen, M.D.
• Exodus PCS
• Express Mobility of Minnesota
• Fairview Clinics
• Fairview Pharmacy Services LLC

• Chiropractor in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.