Donald R. Mandel, D.C., LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3201 Issued in MN

Legal business name

DONALD R. MANDEL, D.C., LTD

Doing business as

Polar Family Chiropractic Center

Practice address

2470 McKnight Rd N
North Saint Paul, MN 55109-2236

Phone

(651) 777-3877

Fax

(651) 773-0708

NPI assigned

Sep 18, 2007

Last updated

Aug 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald Roman Mandel, D.C.NPI 1417051897

Title

President

Phone

(651) 777-3877

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Polar Family Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald R Mandel, DC

  • Chiropractor
  • North St Paul, MN
  • NPI 1417051897
  Medicare reassignment NPD Authorized official
• Matthew Gary Hyopponen, D.C.

  • Chiropractor
  • North St Paul, MN
  • NPI 1487811642
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1518153154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 MCKNIGHT RD N",
            "city": "NORTH 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 RD N",
            "city": "NORTH SAINT PAUL",
            "state": "MN",
            "postal_code": "551092236",
            "telephone_number": "651-777-3877",
            "fax_number": "651-773-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD R. MANDEL, D.C., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-777-3877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "4C198MA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polar Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rochelle Marie Clarke, RN
• Rosemarie Dammer, RN
• Angelina Isabella Dimitrov
• Rachel McNamee Doely, MA CCC-SLP
• Danielle Dohmeier, LSW
• Brian Dufour
• Molly Dunn
• Evan R Eide, MD
• Taylor Nicole Ellis
• Hannah Rebecca Enstad

• Chiropractor in North Saint Paul, MN
• Providers in North Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.