Individual provider Active NPI

Brian David Chmiel, D.C.

  • Chiropractor
  • Falcon Heights, MN
National Provider Identifier
1306170618
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5191 Issued in MN
Practice address
1545 Larpenteur Ave W
Falcon Heights, MN 55113-6316
Phone
(612) 487-2198
Fax
(651) 646-0283
NPI assigned
Sep 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5191 MN Primary

Addresses

Primary practice location

1545 Larpenteur Ave W
Falcon Heights, MN 55113-6316

Mailing address

1545 Larpenteur Ave W
Falcon Heights, MN 55113-6316
Phone (612) 487-2198

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100219000533 MN Practitioner - Chiropractic 8921142589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5801 Duluth St
Suite 345
Golden Valley, MN 55422-3952
Phone (763) 354-7880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5191MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health of Plymouth LTD Chiropractor CurrentSince Nov 1, 2011 Accepting new patients
East St Paul Health PA Chiropractor Past Accepting new patients

Locations

5801 Duluth St
Ste 345
Minneapolis, MN 55422
Phone (763) 354-7880

10100 6th Ave N
Ste 103
Plymouth, MN 55441
Phone (763) 354-7880

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1306170618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 LARPENTEUR AVE W",
            "city": "FALCON HEIGHTS",
            "state": "MN",
            "postal_code": "551136316",
            "telephone_number": "612-487-2198",
            "fax_number": "651-646-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 LARPENTEUR AVE W",
            "city": "FALCON HEIGHTS",
            "state": "MN",
            "postal_code": "551136316",
            "telephone_number": "612-487-2198",
            "fax_number": "651-646-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHMIEL",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falcon Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.