Active NPI
Darrell K Metcalf, DC
- Chiropractor
- Waite Park, MN
National Provider Identifier
1598825614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1413
- Practice address
- 304 4TH Ave NE
Suite 3
Waite Park, MN 56387-1236 - Phone
- (320) 251-0766
- Fax
- (320) 251-8295
- NPI assigned
- Dec 11, 2006
- 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 | 1413 | MN | Primary |
Addresses
Primary practice location
304 4TH Ave NE
Suite 3
Waite Park, MN 56387-1236
Mailing address
304 4TH Ave NE
Suite 3
Waite Park, MN 56387-1236
Phone (320) 251-0766
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51F36CO | Other | MN | BCBS GROUP NUMBER |
| 51F37ME | Other | MN | BCBS PERSONAL ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598825614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 4TH AVE NE",
"address_2": "SUITE 3",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871236",
"telephone_number": "320-251-0766",
"fax_number": "320-251-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 4TH AVE NE",
"address_2": "SUITE 3",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871236",
"telephone_number": "320-251-0766",
"fax_number": "320-251-8295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METCALF",
"first_name": "DARRELL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "1413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "51F36CO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PERSONAL ID",
"identifier": "51F37ME",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.