Organization Active NPI

Twin Cities Mechanical Diagnosis and Treatment Group PA

  • Chiropractor
  • Oakdale, MN
National Provider Identifier
1609014620
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
513 Issued in MN
Legal business name
TWIN CITIES MECHANICAL DIAGNOSIS AND TREATMENT GROUP PA
Practice address
600 Inwood Ave N Ste 240
Oakdale, MN 55128-7148
Phone
(651) 735-1580
Fax
(651) 735-0545
NPI assigned
Jan 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Daniel M Page, D.C.NPI 1205829454
Title
President
Phone
(651) 735-1580

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 513 MN Primary

Addresses

Primary practice location

600 Inwood Ave N Ste 240
Oakdale, MN 55128-7148

Mailing address

600 Inwood Ave N Ste 240
Oakdale, MN 55128-7148
Phone (651) 735-1580

Other names 1

  • ST CROIX CHIROPRACTIC GROUP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050316000872 MN Part B Supplier - Clinic/Group Practice 5890740492 Receives reassigned benefits from 2 practitioners
Practice locations: Oakdale, MN

National Provider Directory

National Provider Directory

Locations

600 Inwood Ave N
Ste 240
Saint Paul, MN 55128
Phone (651) 735-1580

7616 Currell Blvd
Ste 145
Woodbury, MN 55125
Phone (651) 735-1580

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1609014620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 INWOOD AVE N STE 240",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287148",
            "telephone_number": "651-735-1580",
            "fax_number": "651-735-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 INWOOD AVE N STE 240",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287148",
            "telephone_number": "651-735-1580",
            "fax_number": "651-735-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES MECHANICAL DIAGNOSIS AND TREATMENT GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-735-1580",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST CROIX CHIROPRACTIC GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.