Individual provider Active NPI

Daniel Dino Cianni, D.C.

  • Chiropractor
  • Woodbury, MN
National Provider Identifier
1437596350
Registry record updated Jun 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5805 Issued in MN
Practice address
675 Commons Dr
Woodbury, MN 55125-8880
Phone
(651) 501-5459
NPI assigned
Jun 1, 2013
Last updated
Jun 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5805 MN Primary

Addresses

Primary practice location

675 Commons Dr
Woodbury, MN 55125-8880

Mailing address

2512 W 84TH St
Bloomington, MN 55431-1603
Phone (218) 966-0467

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131211000221 MN Practitioner - Chiropractic 9739316175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Clinic, P.a.Group PAC ID 5799934857, 19 clinicians

Practice addresses (Care Compare)

33 Hamline Ave S
Saint Paul, MN 55105-2275
Phone (612) 868-6894

3600 Plymouth Blvd
Plymouth, MN 55446-3201
Phone (763) 519-3838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Clinic, P.a. CurrentSince Feb 1, 2013 Accepting new patients

Locations

3600 Plymouth Blvd
Plymouth, MN 55446
Phone (763) 519-3838

33 Hamline Ave S
Saint Paul, MN 55105
Phone (612) 868-6894

675 Commons Dr
Woodbury, MN 55125
Phone (651) 501-5459

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370044800000",
    "number": "1437596350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 W 84TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311603",
            "telephone_number": "218-966-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 COMMONS DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551258880",
            "telephone_number": "651-501-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANNI",
        "first_name": "DANIEL",
        "middle_name": "DINO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-01",
        "last_updated": "2013-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2013; 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.