David Paul Phillips, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3399 Issued in MN

Practice address

8200 Humboldt Ave S Ste 204
Bloomington, MN 55431-1432

Phone

(952) 884-6144

Fax

(952) 884-9180

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. D. P. Phillips Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Institute for Chiropractic Rehabilitation PA

  • Chiropractor
  • Bloomington, MN
  • NPI 1922242627
  NPD (past)
• Mystical Rose Chiropractic LLC

  • Health Maintenance Organization
  • Bloomington, MN
  • NPI 1649555715
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245440460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550600703",
            "telephone_number": "507-214-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 HUMBOLDT AVE S STE 204",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311432",
            "telephone_number": "952-884-6144",
            "fax_number": "952-884-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D.",
            "last_name": "PHILLIPS",
            "middle_name": "P.",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Patrick Petrie, D.C.
• Thu-Thao Phan-Ly, PHARMD
• Madelyn Phelps
• Alma Catherine Phibbs, LICSW
• Kathleen Anne Phillippe, OTR L
• Mayura Phouan
• Heidi Phuyal, MSW, LICSW
• Nancy Pickett
• Sonya Pickett, PHARMD
• Kelly A Pierce, CRNA

• Chiropractor in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Chiropractor in Minnesota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.