Individual provider Active NPI

David Yang, D.C.

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1720740277
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6767 Issued in MN
Practice address
1204 Grand Ave
Saint Paul, MN 55105-2633
Phone
(612) 461-5779
NPI assigned
Oct 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6767 MN Primary

Addresses

Primary practice location

1204 Grand Ave
Saint Paul, MN 55105-2633

Mailing address

1204 Grand Ave
Saint Paul, MN 55105-2633
Phone (612) 461-5779

Other practice location 1

482 Sterling St S
Maplewood, MN 55119-6738
Phone (678) 549-6037

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Jane Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Health LLC Chiropractor CurrentSince Jul 24, 2022 Accepting new patients

Locations

1204 Grand Ave
Saint Paul, MN 55105
Phone (612) 461-5779

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": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1720740277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052633",
            "telephone_number": "612-461-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052633",
            "telephone_number": "612-461-5779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "482 Sterling St S",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551196738",
            "country_code": "US",
            "telephone_number": "678-549-6037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-12",
        "last_updated": "2022-07-20",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Jane",
            "affiliation": "N",
            "endpointDescription": "Jane App portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1204 Grand Ave",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551052633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 20, 2022; 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.