Active NPI
Paul D. Dingman PA
- Independent Medical Examiner Chiropractor
- Columbia Heights, MN
National Provider Identifier
1205115912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Chiropractor
- License
- 2701
- Legal business name
- PAUL D. DINGMAN PA
- Practice address
- 3984 Central Ave NE
Columbia Heights, MN 55421-3931 - Phone
- (763) 788-9101
- Fax
- (763) 789-4980
- NPI assigned
- Aug 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul D Dingman, PD
- Title
- Chiropractor
- Phone
- (763) 788-9101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | 2701 | MN | Primary |
Addresses
Primary practice location
3984 Central Ave NE
Columbia Heights, MN 55421-3931
Mailing address
3984 Central Ave NE
Columbia Heights, MN 55421-3931
Phone (763) 788-9101
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44-82648 | Other | MN | MEDICA |
| 504828100 | Medicaid | MN | |
| 71229-NO | Other | MN | BLUECROSS BLUESHIELD |
National Provider Directory
National Provider DirectoryLocations
3984 Central Ave NE
Minneapolis, MN 55421
Phone (763) 288-9101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320796800000",
"number": "1205115912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3984 CENTRAL AVE NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554213931",
"telephone_number": "763-788-9101",
"fax_number": "763-789-4980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3984 CENTRAL AVE NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554213931",
"telephone_number": "763-788-9101",
"fax_number": "763-789-4980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL D. DINGMAN PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-11",
"last_updated": "2011-11-09",
"status": "A",
"authorized_official_last_name": "DINGMAN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "763-788-9101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PD"
},
"taxonomies": [
{
"code": "111NI0013X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "MN",
"license": "2701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "44-82648",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "504828100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "71229-NO",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.