Individual provider Active NPI

Todd Davis Newman, D.C.

  • Chiropractor
  • Cohasset, MN
National Provider Identifier
1760525612
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2918 Issued in MN
Practice address
10 W Highway 2 Ste a
Cohasset, MN 55721-8614
Phone
(218) 820-7936
Fax
(218) 545-2185
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2918 MN Primary

Addresses

Primary practice location

10 W Highway 2 Ste a
Cohasset, MN 55721-8614

Mailing address

PO Box 195
Cohasset, MN 55721-0195
Phone (218) 820-7936

Other identifiers 3

IdentifierTypeStateIssuer
71M99CROtherMNBCBS CLINIC ID NUMBER
72M00NEOtherMNBCBS INDIVIDUAL PROVIDER
689452600MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000540 MN Practitioner - Chiropractic 4789664376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis Chiropractic Health and Wellness, P.aGroup PAC ID 0547153967, 3 clinicians

Practice addresses (Care Compare)

204 NW 5TH St
Grand Rapids, MN 55744-2607
Phone (218) 326-1804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Chiropractic Health & Wellness, P.a Chiropractor CurrentSince Jul 16, 2024 Accepting new patients
Itasca Surgical Clinic, PA PastSince Jul 16, 2024 Accepting new patients

Locations

204 NW 5th St
Grand Rapids, MN 55744
Phone (218) 326-1804

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1760525612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "COHASSET",
            "state": "MN",
            "postal_code": "557210195",
            "telephone_number": "218-820-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W HIGHWAY 2 STE A",
            "city": "COHASSET",
            "state": "MN",
            "postal_code": "557218614",
            "telephone_number": "218-820-7936",
            "fax_number": "218-545-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "TODD",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC ID NUMBER",
            "identifier": "71M99CR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PROVIDER",
            "identifier": "72M00NE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689452600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohasset, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.