Active NPI
Donald R Mandel, DC
- Chiropractor
- North St. Paul, MN
National Provider Identifier
1417051897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 2470 McKnight Road N
North St. Paul, MN 55109 - Phone
- (651) 777-3877
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | MN | Primary |
Addresses
Primary practice location
2470 McKnight Road N
North St. Paul, MN 55109
Mailing address
2470 McKnight Rd N
Saint Paul, MN 55109-2236
Phone (651) 777-3877
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, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2470 McKnight Rd N
North St Paul, MN 55109-2251
Phone (651) 777-3877
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3201 | MN | MD | Optometrist |
| 311 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald R. Mandel, D.C., LTD | Chiropractor | Current | Accepting new patients |
Locations
2470 McKnight Rd N
Saint Paul, MN 55109
Phone (651) 777-3877
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.
-
- Chiropractor
- North Saint Paul, MN
- NPI 1518153154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417051897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 MCKNIGHT RD N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551092236",
"telephone_number": "651-777-3877",
"fax_number": "651-773-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 MCKNIGHT ROAD N",
"city": "NORTH ST. PAUL",
"state": "MN",
"postal_code": "55109",
"telephone_number": "651-777-3877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEL",
"first_name": "DONALD",
"middle_name": "R",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North St. Paul, 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.