Active NPI
Mark Anthony Garnett, D.C.
- Chiropractor
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4384
- Practice address
- 409 Dunlap St N
Saint Paul, MN 55104-4201 - Phone
- (651) 290-9200
- Fax
- (651) 290-9210
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 4384 | MN | Primary |
Addresses
Primary practice location
409 Dunlap St N
Saint Paul, MN 55104-4201
Mailing address
409 Dunlap St N
Saint Paul, MN 55104-4201
Phone (651) 290-9200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403L6GA | Other | MN | MN BLUE CROSS BLUE SHIELD |
| 968165500 | Medicaid | MN |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 4TH N Ave
Suite 201
Minneapolis, MN 55405-1178
Phone (612) 543-2500
1313 Penn N Ave
Minneapolis, MN 55411-3047
Phone (612) 543-2500
165 Glenwood Ave
Minneapolis, MN 55405-1618
Phone (612) 348-5553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4384 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hennepin County | Current | Accepting new patients | |
| Hennepin County | Current | Accepting new patients | |
| Hennepin County | Current | Accepting new patients | |
| Discover Family Chiropractic | Chiropractor | Past | Accepting new patients |
| Garnett Chiropractic & Rehab Center, PA | Past | Accepting new patients | |
| Hyva Elama, P.a. | Chiropractor | Past | Accepting new patients |
Locations
1015 4th Ave N
Ste 201
Minneapolis, MN 55405
Phone (612) 344-2212
1313 Penn Ave N
Minneapolis, MN 55411
Phone (612) 302-4600
Organizations & group practices 7
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.
-
- Psychiatry Physician
- Minneapolis, MN
- NPI 1780790345
-
- Federally Qualified Health Center (FQHC)
- St. Paul, MN
- NPI 1225101405
-
- Rehabilitation Chiropractor
- St. Paul, MN
- NPI 1003038241
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1083083752
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1962147413
-
- Chiropractor
- Apple Valley, MN
- NPI 1336368638
-
- Chiropractor
- Savage, MN
- NPI 1215086384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359763200000",
"number": "1497976062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 DUNLAP ST N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551044201",
"telephone_number": "651-290-9200",
"fax_number": "651-290-9210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 DUNLAP ST N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551044201",
"telephone_number": "651-290-9200",
"fax_number": "651-290-9210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNETT",
"first_name": "MARK",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2013-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BLUE CROSS BLUE SHIELD",
"identifier": "403L6GA",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "968165500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.