Individual provider Active NPI

Joshua Taij Watkins, D.C.

  • Chiropractor
  • Savage, MN
National Provider Identifier
1457462392
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4204 Issued in MN
Practice address
6001 Egan Dr
Suite 120
Savage, MN 55378-4921
Phone
(952) 440-4553
Fax
(952) 440-4573
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 4204 MN Primary

Addresses

Primary practice location

6001 Egan Dr
Suite 120
Savage, MN 55378-4921

Mailing address

6001 Egan Dr
Suite 120
Savage, MN 55378-4921
Phone (952) 440-4553

Other identifiers 2

IdentifierTypeStateIssuer
457693400OtherMNMINNESOTA CARE
67G17WAOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061221000385 MN Practitioner - Chiropractic 0547260556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watkins Family Chiropractic PAGroup PAC ID 4688762297, 3 clinicians

Practice addresses (Care Compare)

6001 Egan Dr
Suite 120
Savage, MN 55378-4910
Phone (952) 440-4553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Watkins Family Chiropractic PA CurrentSince Mar 1, 2003 Accepting new patients

Locations

6001 Egan Dr
Ste 120
Savage, MN 55378
Phone (952) 440-4553

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1457462392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 EGAN DR",
            "address_2": "SUITE 120",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553784921",
            "telephone_number": "952-440-4553",
            "fax_number": "952-440-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 EGAN DR",
            "address_2": "SUITE 120",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553784921",
            "telephone_number": "952-440-4553",
            "fax_number": "952-440-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JOSHUA",
        "middle_name": "TAIJ",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA CARE",
            "identifier": "457693400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "67G17WA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.