Active NPI
Byung Kwon Cha, D.C.
- Chiropractor
- New Brighton, MN
National Provider Identifier
1669565560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC3927
- Practice address
- 1401 Silver Lake Rd NW
Suite 4
New Brighton, MN 55112-9307 - Phone
- (651) 631-0093
- Fax
- (651) 631-9699
- NPI assigned
- Oct 2, 2006
- 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 | DC3927 | MN | Primary |
Addresses
Primary practice location
1401 Silver Lake Rd NW
Suite 4
New Brighton, MN 55112-9307
Mailing address
1401 Silver Lake Rd NW
Suite 4
New Brighton, MN 55112-9307
Phone (651) 631-0093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302120300 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1401 Silver Lake Rd NW
Suite 4
New Brighton, MN 55112-9307
Phone (651) 631-0093
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC3927 | MN | MD | Chiropractor |
| 3927 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BK Chiropractic PA | Chiropractor | Current | Accepting new patients |
Locations
1401 Silver Lake Rd NW
Ste 4
Saint Paul, MN 55112
Phone (651) 631-0093
Organizations & group practices 1
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": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318636800000",
"number": "1669565560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 SILVER LAKE RD NW",
"address_2": "SUITE 4",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551129307",
"telephone_number": "651-631-0093",
"fax_number": "651-631-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 SILVER LAKE RD NW",
"address_2": "SUITE 4",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551129307",
"telephone_number": "651-631-0093",
"fax_number": "651-631-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHA",
"first_name": "BYUNG KWON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2011-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "DC3927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302120300",
"state": "MN"
}
],
"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 Oct 15, 2011; 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.