Active NPI
Terence L. Drassal, D.C.
- Sports Physician Chiropractor
- Shoreview, MN
National Provider Identifier
1285716993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 1915
- Practice address
- 3434 Lexington Ave N
Shoreview, MN 55126-8069 - Phone
- (651) 484-4000
- Fax
- (651) 486-0697
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 1915 | MN | Primary |
Addresses
Primary practice location
3434 Lexington Ave N
Shoreview, MN 55126-8069
Mailing address
3434 Lexington Ave N
Shoreview, MN 55126-8069
Phone (651) 484-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110919000231 | MN | Practitioner - Chiropractic | 2365613684 | Practice locations: Shoreview, MN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3434 Lexington Ave N
Suite 900
Shoreview, MN 55126-8090
Phone (651) 484-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1915 | MN | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Chiropractic & Wellness Clinic | Past | Accepting new patients |
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.
-
- Chiropractor
- Shoreview, MN
- NPI 1184808636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285716993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3434 LEXINGTON AVE N",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551268069",
"telephone_number": "651-484-4000",
"fax_number": "651-486-0697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 LEXINGTON AVE N",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551268069",
"telephone_number": "651-484-4000",
"fax_number": "651-486-0697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRASSAL",
"first_name": "TERENCE",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MN",
"license": "1915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreview, 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.