Active NPI
Thong Chang
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1760077994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6800
- Practice address
- 1258 Matilda St
Saint Paul, MN 55117-4824 - Phone
- (651) 621-4036
- NPI assigned
- Mar 9, 2021
- Last updated
- Apr 8, 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 | 6800 | MN | Primary |
Addresses
Primary practice location
1258 Matilda St
Saint Paul, MN 55117-4824
Mailing address
1258 Matilda St
Saint Paul, MN 55117-4824
Phone (651) 621-4036
Other practice location 1
7378 Kirkwood Ct N
Maple Grove, MN 55369-5270
Phone (651) 777-5461
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7378 Kirkwood CT N
Maple Grove, MN 55369-5270
Phone (763) 777-5461
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Family Chiropractic PA | Chiropractor | Current | Accepting new patients |
Locations
7372 Kirkwood Ct N
Ste A
Maple Grove, MN 55369
Phone (763) 777-5461
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Maple Grove, MN
- NPI 1184049298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1760077994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1258 MATILDA ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551174824",
"telephone_number": "651-621-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1258 MATILDA ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551174824",
"telephone_number": "651-621-4036"
}
],
"practiceLocations": [
{
"address_1": "7378 Kirkwood Ct N",
"address_purpose": "LOCATION",
"city": "Maple Grove",
"state": "MN",
"postal_code": "553695270",
"country_code": "US",
"telephone_number": "651-777-5461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "THONG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-09",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 8, 2021; 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.