Active NPI
Tony Preston Wangerin, D.C.
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1649218371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4841
- Practice address
- 441 University Ave W Ste 201
Saint Paul, MN 55103-2172 - Phone
- (952) 412-1880
- Fax
- (651) 207-4028
- NPI assigned
- Jun 3, 2006
- Last updated
- May 22, 2025
- 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 | 4841 | MN | Primary |
Addresses
Primary practice location
441 University Ave W Ste 201
Saint Paul, MN 55103-2172
Mailing address
18385 Grasshopper Dr
Lakeville, MN 55044-4838
Phone (952) 412-1880
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4841 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xpress Urgent Care PLLC | Current | Accepting new patients | |
| Urwc, PA | Chiropractor | Past | Accepting new patients |
Locations
441 University Ave W
Ste 201
Saint Paul, MN 55103
Phone (651) 340-3546
Organizations & group practices 3
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.
-
- Chiropractor
- Eden Prairie, MN
- NPI 1760418362
-
- Urgent Care Clinic/Center
- Saint Paul, MN
- NPI 1447656830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1649218371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18385 GRASSHOPPER DR",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550444838",
"telephone_number": "952-412-1880",
"fax_number": "651-207-4028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 UNIVERSITY AVE W STE 201",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551032172",
"telephone_number": "952-412-1880",
"fax_number": "651-207-4028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANGERIN",
"first_name": "TONY",
"middle_name": "PRESTON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.