Paul D. Thompson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0020970 Issued in MN

Practice address

11 Little Canada Rd E
Little Canada, MN 55117-1322

Phone

(651) 483-0898

NPI assigned

Jun 12, 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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1275737504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LITTLE CANADA RD E",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171322",
            "telephone_number": "651-483-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LITTLE CANADA RD E",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171322",
            "telephone_number": "651-483-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PAUL",
        "middle_name": "D.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "0020970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "457327700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "29076TH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Elizabeth Suarez, MSW, LICSW
• Suite Living Senior Care of Little Canada
• Krysta Lea Szajner
• The Evangelical Lutheran Good Samaritan Society
• Rebekah Thielen Barnes
• Vickie Tierney
• Twin Cities F.I.T.
• Twins STS LLC
• Uptop Community Services LLC
• Nicholas Vang

• Chiropractor in Little Canada, MN
• Providers in Little Canada, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.