Active NPI
Thomas Pastor IV, D.C.
- Chiropractor
- New Brighton, MN
National Provider Identifier
1649719626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6298
- Practice address
- 2677 Innsbruck Dr Ste D
New Brighton, MN 55112-9300 - Phone
- (651) 314-3739
- Fax
- (651) 330-6692
- NPI assigned
- Feb 23, 2017
- 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 | 6298 | MN | Primary |
Addresses
Primary practice location
2677 Innsbruck Dr Ste D
New Brighton, MN 55112-9300
Mailing address
2677 Innsbruck Dr Ste D
New Brighton, MN 55112-9300
Phone (651) 314-3739
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1649719626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2677 INNSBRUCK DR STE D",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551129300",
"telephone_number": "651-314-3739",
"fax_number": "651-330-6692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2677 INNSBRUCK DR STE D",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551129300",
"telephone_number": "651-314-3739",
"fax_number": "651-330-6692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTOR",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-23",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Brighton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.