Organization Active NPI

Paul D. Dingman PA

  • Independent Medical Examiner Chiropractor
  • Columbia Heights, MN
National Provider Identifier
1205115912
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
2701 Issued in MN
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

Updated by the provider on Nov 9, 2011

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)CodeLicenseStatePrimary
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
44-82648OtherMNMEDICA
504828100MedicaidMN
71229-NOOtherMNBLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.