Individual provider Active NPI

Tony Preston Wangerin, D.C.

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1649218371
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4841 Issued in MN
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4841MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xpress Urgent Care PLLC CurrentSince May 25, 2025 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.

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.

Verify at the official NPI Registry.