Dr. Tim Wegscheid PA

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

3427 Issued in MN

Legal business name

DR. TIM WEGSCHEID PA

Practice address

2121 Cliff Dr
Ste 101
Eagan, MN 55122-3407

Phone

(651) 330-3900

Fax

(651) 330-3901

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Timothy E Wegscheid, D.C.NPI 1811966476

Title

Owner

Phone

(651) 330-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cedar Cliff Chiropractic & Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy E Wegscheid, D.C.

  • Chiropractor
  • Eagan, MN
  • NPI 1811966476
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760629380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 CLIFF DR",
            "address_2": "STE 101",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223335",
            "telephone_number": "651-330-3900",
            "fax_number": "651-330-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 CLIFF DR",
            "address_2": "STE 101",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223407",
            "telephone_number": "651-330-3900",
            "fax_number": "651-330-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TIM WEGSCHEID PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEGSCHEID",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-330-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": "MN",
            "license": "3427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #- TIN #",
            "identifier": "50M07WE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Cliff Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Occupational Health Chiropractor in Eagan, MN
• Providers in Eagan, MN by specialty
• Occupational Health Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.