Individual provider Active NPI

Derek Thomas Ashton, D.C.

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1619310455
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5755 Issued in MN
Practice address
14068 Plymouth Ave
Burnsville, MN 55337
Phone
(507) 438-3130
NPI assigned
Apr 11, 2013
Last updated
Apr 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5755 MN Primary

Addresses

Primary practice location

14068 Plymouth Ave
Burnsville, MN 55337

Mailing address

14068 Plymouth Ave
Burnsville, MN 55337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130513000589 MN Practitioner - Chiropractic 7618114588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapp Chiropractic LLCGroup PAC ID 4082803655, 4 clinicians

Practice addresses (Care Compare)

15170 Chippendale Ave W
Suite 200
Rosemount, MN 55068-2769
Phone (651) 423-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5755MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rapp Chiropractic LLC Chiropractor CurrentSince Jun 28, 2021 Accepting new patients
Carlson Chiropractic Corporation Chiropractor PastSince Jun 15, 2003 Accepting new patients

Locations

15170 Chippendale Ave W
Ste 200
Rosemount, MN 55068
Phone (651) 423-2900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1619310455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14068 PLYMOUTH AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14068 PLYMOUTH AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "507-438-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHTON",
        "first_name": "DEREK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.