Individual provider Active NPI

Sawyer A Hildebrant, DC

  • Chiropractor
  • North St Paul, MN
National Provider Identifier
1609220169
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6356 Issued in MN
Practice address
2516 7TH Ave E
North St Paul, MN 55109-3003
Phone
(651) 770-3805
Fax
(651) 747-8737
NPI assigned
Apr 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6356 MN Primary

Addresses

Primary practice location

2516 7TH Ave E
North St Paul, MN 55109-3003

Mailing address

2516 7TH Ave E
North St Paul, MN 55109-3003
Phone (651) 770-3805

Other practice location 1

Three Embarcadero Center
Lobby Level
San Francisco, CA 94111
Phone (415) 495-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171114001325 MN Practitioner - Chiropractic 4082970793 Reassigns benefits to 1 organization
I20230407001318 WI Practitioner - Chiropractic 4082970793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North St Paul Chiropractic Office, P.a.Group PAC ID 7315995578, 3 clinicians

Practice addresses (Care Compare)

242 Main St
Unit 1
Somerset, WI 54025-2300
Phone (651) 230-4626

2516 - 7TH Ave E
North Saint Paul, MN 55109-3003
Phone (651) 770-3805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6356MNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North St Paul Chiropractic Office, P.a. Chiropractor CurrentSince Oct 27, 2017 Accepting new patients
Apple River Chiropractic LLC Chiropractor CurrentSince Mar 1, 2023 Accepting new patients

Locations

2516 7th Ave E
Saint Paul, MN 55109
Phone (651) 770-3805

242 Main St
Unit 1
Somerset, WI 54025
Phone (651) 230-4626

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1609220169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 7TH AVE E",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551093003",
            "telephone_number": "651-770-3805",
            "fax_number": "651-747-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 7TH AVE E",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551093003",
            "telephone_number": "651-770-3805",
            "fax_number": "651-747-8737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Three Embarcadero Center",
            "address_2": "Lobby Level",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94111",
            "country_code": "US",
            "telephone_number": "415-495-2225",
            "fax_number": "415-494-2228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILDEBRANT",
        "first_name": "SAWYER",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.

Verify at the official NPI Registry.