Individual provider Active NPI

Timothy Wayne Guthman, D.C.

  • Chiropractor
  • Inver Grove Heights, MN
National Provider Identifier
1376611798
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003653 Issued in MN
Practice address
2125 Upper 55TH St E
Suite 250
Inver Grove Heights, MN 55077-1734
Phone
(651) 451-3311
NPI assigned
Dec 1, 2006
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 003653 MN Primary

Addresses

Primary practice location

2125 Upper 55TH St E
Suite 250
Inver Grove Heights, MN 55077-1734

Mailing address

2125 Upper 55TH St E
Suite 250
Inver Grove Heights, MN 55077-1734
Phone (651) 451-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
003653MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Professionals, Inc Chiropractor Past Accepting new patients
Uptown Chiropractic, LLC Chiropractor Past Accepting new patients
Inver Family Chiropractic, Inc. PastSince Apr 13, 2002 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376611798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 UPPER 55TH ST E",
            "address_2": "SUITE 250",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550771734",
            "telephone_number": "651-451-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 UPPER 55TH ST E",
            "address_2": "SUITE 250",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550771734",
            "telephone_number": "651-451-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHMAN",
        "first_name": "TIMOTHY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inver Grove Heights, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.