Organization Active NPI

Dr. Tia Chang & Associates, P.a.

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1336396134
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3597 Issued in MN
Legal business name
DR. TIA CHANG & ASSOCIATES, P.A.
Practice address
858 Terrace CT
Suite a
Saint Paul, MN 55130-4276
Phone
(651) 771-2250
Fax
(651) 771-7382
NPI assigned
Aug 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Dr. Timothy Tia Chang, DC
Title
President
Phone
(651) 771-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3597 MN Primary

Addresses

Primary practice location

858 Terrace CT
Suite a
Saint Paul, MN 55130-4276

Mailing address

858 Terrace CT
Suite a
Saint Paul, MN 55130-4276
Phone (651) 771-2250

National Provider Directory

National Provider Directory

Locations

3300 County Road 10
Ste 202
Brooklyn Center, MN 55429
Phone (763) 221-0490

858 Terrace Ct
Ste A
Saint Paul, MN 55130
Phone (651) 771-2250

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1336396134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 TERRACE CT",
            "address_2": "SUITE A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304276",
            "telephone_number": "651-771-2250",
            "fax_number": "651-771-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 TERRACE CT",
            "address_2": "SUITE A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304276",
            "telephone_number": "651-771-2250",
            "fax_number": "651-771-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TIA CHANG & ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "TIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-771-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.