Individual provider Active NPI

James R Snyder, D.C.

  • Chiropractor
  • Edina, MN
National Provider Identifier
1164558961
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003117 Issued in MN
Practice address
5125 Edina Industrial Blvd
Edina, MN 55439-3044
Phone
(952) 835-5700
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 003117 MN Primary

Addresses

Primary practice location

5125 Edina Industrial Blvd
Edina, MN 55439-3044

Mailing address

5125 Edina Industrial Blvd
Edina, MN 55439-3044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070622000471 MN Practitioner - ChiropracticPractitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 9537268164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Pain Management, Physical Medicine and Rehabilitation
Education
Northwestern College of Chiropractic, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5126 Edina Industrial Blvd
Edina, MN 55439-3008
Phone (952) 835-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003117MNMDChiropractor
3117MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthworks Chiropractic Care & Rehab Center PA Chiropractor CurrentSince Jul 19, 1993 Accepting new patients

Locations

5126 Edina Industrial Blvd
Minneapolis, MN 55439
Phone (952) 835-5700

5125 Edina Industrial Blvd
Minneapolis, MN 55439
Phone (651) 707-6702

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164558961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 EDINA INDUSTRIAL BLVD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 EDINA INDUSTRIAL BLVD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393044",
            "telephone_number": "952-835-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.