Individual provider Active NPI

Patrick John McGrath, D.C.

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1770679540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3005 Issued in MN
Practice address
1154 Grand Avenue
St. Paul, MN 55105
Phone
(651) 228-9000
Fax
(651) 224-2806
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3005 MN Primary

Addresses

Primary practice location

1154 Grand Avenue
St. Paul, MN 55105

Mailing address

1154 Grand Avenue
St. Paul, MN 55105
Phone (651) 228-9000

Other identifiers 2

IdentifierTypeStateIssuer
3C123MCOtherMNBC/BS-INDIVIDUAL
231503OtherMNACN GROUP PROVIDER ID

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3005MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Incorporated of Minnesota Chiropractor Past Accepting new patients
Grand Health Chiropractic and Wellness Center, P.a. Chiropractor PastSince Apr 30, 2003 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770679540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 GRAND AVENUE",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55105",
            "telephone_number": "651-228-9000",
            "fax_number": "651-224-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 GRAND AVENUE",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55105",
            "telephone_number": "651-228-9000",
            "fax_number": "651-224-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS-INDIVIDUAL",
            "identifier": "3C123MC",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP PROVIDER ID",
            "identifier": "231503",
            "state": "MN"
        }
    ],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.