Individual provider Active NPI

John Thomas Toth, D.C.

  • Chiropractor
  • Maplewood, MN
National Provider Identifier
1356476402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4043 Issued in MN
Practice address
2019A Woodlynn Ave
Maplewood, MN 55109-1417
Phone
(651) 773-9414
Fax
(651) 773-8954
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4043 MN Primary

Addresses

Primary practice location

2019A Woodlynn Ave
Maplewood, MN 55109-1417

Mailing address

2019A Woodlynn Ave
Maplewood, MN 55109-1417
Phone (651) 773-9414

Other identifiers 2

IdentifierTypeStateIssuer
0770OtherMNHEALTH SERVICE MANAGEMENT
080R5VIOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080820000293 MN Practitioner - Chiropractic 2769557180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1310 Hwy 96 E
Suite 110
White Bear Lake, ME 55110
Phone (651) 773-9414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4043MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Toth Chiropractic PA Chiropractor CurrentSince May 27, 2001 Accepting new patients

Locations

2019A Woodlynn Ave
Maplewood, MN 55109
Phone (651) 773-9414

1310 Highway 96 E
Ste 110
White Bear Lake, MN 55110
Phone (651) 773-9414

3564 Rolling View Dr
Ste J
White Bear Lake, MN 55110
Phone (651) 773-9414

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356476402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019A WOODLYNN AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091417",
            "telephone_number": "651-773-9414",
            "fax_number": "651-773-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019A WOODLYNN AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091417",
            "telephone_number": "651-773-9414",
            "fax_number": "651-773-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTH",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SERVICE MANAGEMENT",
            "identifier": "0770",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080R5VI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, 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.

Verify at the official NPI Registry.