Organization Active NPI

Danielle Trego, PA

Doing business as Active Health Chiropractic

  • Primary Care Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1558512632
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
5115 Issued in MN
Legal business name
DANIELLE TREGO, PA
Doing business as
Active Health Chiropractic
Practice address
50 Cretin Ave S
Saint Paul, MN 55105-1042
Phone
(952) 201-3420
Fax
(651) 304-1700
NPI assigned
Oct 7, 2008
Last updated
Sep 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Dr. Danielle Trego Finden, D.C.NPI 1932371762
Title
Owner
Phone
(952) 201-3420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 5115 MN Primary

Addresses

Primary practice location

50 Cretin Ave S
Saint Paul, MN 55105-1042

Mailing address

423 Fairview Ave S
Saint Paul, MN 55105-1707
Phone (952) 201-3420

Other names 1

  • Active Health Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081211000356 MN Part B Supplier - Clinic/Group Practice 3274694013 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

1278 Selby Ave
Saint Paul, MN 55104
Phone (952) 201-3420

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1558512632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 FAIRVIEW AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051707",
            "telephone_number": "952-201-3420",
            "fax_number": "651-304-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CRETIN AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051042",
            "telephone_number": "952-201-3420",
            "fax_number": "651-304-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE TREGO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "FINDEN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "TREGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-201-3420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": "5115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 24, 2009; 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.