Individual provider Active NPI

Andrew Newman, D.C.

  • Chiropractor
  • Mendota Heights, MN
National Provider Identifier
1730537929
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6223 Issued in MN
Practice address
750 S Plaza Dr Ste 104
Mendota Heights, MN 55120-1505
Phone
(612) 710-8798
NPI assigned
May 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1716 ID
Chiropractor 111N00000X 6223 MN Primary

Addresses

Primary practice location

750 S Plaza Dr Ste 104
Mendota Heights, MN 55120-1505

Mailing address

750 S Plaza Dr Ste 104
Mendota Heights, MN 55120-1505
Phone (651) 406-4454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727001921 MN Practitioner - Chiropractic 8426341546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

750 S Plaza Dr
Mendota Heights, MN 55120-1505
Phone (651) 406-4454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1716IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Chiropractic and Wellness, PA Chiropractor CurrentSince Aug 9, 2019 Accepting new patients
Fugleberg Chiropractic, PA Chiropractor PastSince Oct 20, 2019 Accepting new patients

Locations

750 S Plaza Dr
Ste 214
Saint Paul, MN 55120
Phone (651) 406-4454

750 S Plaza Dr
Ste 104
Saint Paul, MN 55120
Phone (651) 406-4454

Organizations & group practices 2

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": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1730537929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S PLAZA DR STE 104",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201505",
            "telephone_number": "651-406-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S PLAZA DR STE 104",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201505",
            "telephone_number": "612-710-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1716",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.

Verify at the official NPI Registry.