Active NPI
David Yang, D.C.
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1720740277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6767
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinal Health LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Saint Paul, MN
- NPI 1710612023
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.