Individual provider Active NPI

Ian Patrick McCann, D.C.

  • Chiropractor
  • Chanhassen, MN
National Provider Identifier
1386007607
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6154 Issued in MN
Practice address
2675 W 78TH St
Chanhassen, MN 55317-4502
Phone
(651) 731-0505
Fax
(952) 414-1545
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 6154 MN
Chiropractor 111N00000X 6154 MN Primary

Addresses

Primary practice location

2675 W 78TH St
Chanhassen, MN 55317-4502

Mailing address

2675 W 78TH St
Chanhassen, MN 55317-4502
Phone (952) 474-1544

Other practice location 1

8147 Globe Dr Ste 100
Woodbury, MN 55125-3379
Phone (651) 731-0505

Other practice location 2

2675 W 78th St
Chanhassen, MN 55317-4502
Phone (651) 731-0505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181001001080 MN Practitioner - Chiropractic 6406107622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2675 W 78TH St
Chanhassen, MN 55317-4502
Phone (952) 474-1544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6154MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Chiropractic Company, P.a. Chiropractor CurrentSince Aug 1, 2018 Accepting new patients
Woodbury Spine and Injury Center Chiropractor PastSince Jan 3, 2017 Accepting new patients

Locations

2675 W 78th St
Chanhassen, MN 55317
Phone (952) 474-1544

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1386007607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 W 78TH ST",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174502",
            "telephone_number": "952-474-1544",
            "fax_number": "952-474-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 W 78TH ST",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174502",
            "telephone_number": "651-731-0505",
            "fax_number": "952-414-1545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8147 Globe Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551253379",
            "country_code": "US",
            "telephone_number": "651-731-0505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2675 W 78th St",
            "address_purpose": "LOCATION",
            "city": "Chanhassen",
            "state": "MN",
            "postal_code": "553174502",
            "country_code": "US",
            "telephone_number": "651-731-0505",
            "fax_number": "952-414-1545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "IAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MN",
            "license": "6154",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.