Active NPI
Zen Matsuda, D.C.
- Chiropractor
- Eden Prairie, MN
National Provider Identifier
1356672075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5320
- Practice address
- 6400 Flying Cloud Dr Ste 213
Eden Prairie, MN 55344-3331 - Phone
- (952) 500-8733
- Fax
- (763) 592-8142
- NPI assigned
- Jan 20, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5320 | MN | Primary |
Addresses
Primary practice location
6400 Flying Cloud Dr Ste 213
Eden Prairie, MN 55344-3331
Mailing address
4570 West 77TH Street
Suite 140
Edina, MN 55435-7015
Phone (952) 500-8733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356672075 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4570 W 77TH St
Suite 140
Edina, MN 55435-5004
Phone (952) 500-8733
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5320 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zen Chiropractic Incoporated | Chiropractor | Current | Accepting new patients |
| Zen Chiropractic Inc | Current | Accepting new patients | |
| Innate & Hyack Family Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Locations
6400 Flying Cloud Dr
Ste 213
Eden Prairie, MN 55344
Phone (612) 564-8101
4570 77th St W
Ste 140
Minneapolis, MN 55435
Phone (612) 886-7763
Organizations & group practices 3
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
- Edina, MN
- NPI 1750671277
-
- Specialist
- Edina, MN
- NPI 1568841369
-
- Chiropractor
- Bloomington, MN
- NPI 1114114642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1356672075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4570 WEST 77TH STREET",
"address_2": "SUITE 140",
"city": "EDINA",
"state": "MN",
"postal_code": "554357015",
"telephone_number": "952-500-8733",
"fax_number": "763-592-8142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 FLYING CLOUD DR STE 213",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443331",
"telephone_number": "952-500-8733",
"fax_number": "763-592-8142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSUDA",
"first_name": "ZEN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-20",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356672075",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.