Individual provider Active NPI

Daniel Martin Page, D.C.

  • Chiropractor
  • Oakdale, MN
National Provider Identifier
1205829454
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3693 Issued in MN
Practice address
600 Inwood Ave N
Oakdale, MN 55128-7096
Phone
(651) 735-1580
NPI assigned
Aug 23, 2005
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 3693 MN Primary

Addresses

Primary practice location

600 Inwood Ave N
Oakdale, MN 55128-7096

Mailing address

600 Inwood Ave N
Oakdale, MN 55128-7148
Phone (651) 735-1580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120113000156 MN Practitioner - Chiropractic 1052366655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Cities Mechanical Diagnosis and Treatment Group PAGroup PAC ID 5890740492, 2 clinicians

Practice addresses (Care Compare)

600 Inwood Ave N
Suite 240
Oakdale, MN 55128-7148
Phone (651) 735-1580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Cities Mechanical Diagnosis and Treatment Group PA Chiropractor CurrentSince Feb 12, 2002 Accepting new patients

Locations

600 Inwood Ave N
Ste 240
Saint Paul, MN 55128
Phone (651) 735-1580

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205829454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 INWOOD AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287148",
            "telephone_number": "651-735-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 INWOOD AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287096",
            "telephone_number": "651-735-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "DANIEL",
        "middle_name": "MARTIN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.