Individual provider Active NPI

Daniel Matthew Opitz, D.C.

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1194182162
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6167 Issued in MN
Practice address
13809 James Ave S
Burnsville, MN 55337-4434
Phone
(952) 412-2514
NPI assigned
Jan 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6167 MN Primary

Addresses

Primary practice location

13809 James Ave S
Burnsville, MN 55337-4434

Mailing address

200 E Travelers TRL Ste 115
Burnsville, MN 55337-4108
Phone (952) 412-2514

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

State licenses

LicenseStateTypeSpecialty
6167MNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1194182162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E TRAVELERS TRL STE 115",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374108",
            "telephone_number": "952-412-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13809 JAMES AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374434",
            "telephone_number": "952-412-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPITZ",
        "first_name": "DANIEL",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-21",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.