Individual provider Active NPI

Tanner Toppen, DC

  • Chiropractor
  • Shakopee, MN
National Provider Identifier
1790355857
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6781 Issued in MN
Practice address
1275 Ramsey St
Shakopee, MN 55379-3133
Phone
(952) 977-9933
NPI assigned
Jun 30, 2021
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 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 6781 MN Primary

Addresses

Primary practice location

1275 Ramsey St
Shakopee, MN 55379-3133

Mailing address

1275 Ramsey St
Shakopee, MN 55379-3133
Phone (952) 977-9933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220131002063 MN Practitioner - Chiropractic 1254724008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Chiropractic LLCGroup PAC ID 5991076945, 2 clinicians

Practice addresses (Care Compare)

15507 Grove Cir N
Maple Grove, MN 55369-4488
Phone (612) 516-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6781MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sylvester Family Chiropractic, PC Chiropractor CurrentSince Oct 26, 2021 Accepting new patients
Restore Chiropractic LLC Chiropractor CurrentSince Jan 30, 2023 Accepting new patients

Locations

15507 Grove Cir N
Maple Grove, MN 55369
Phone (612) 516-3090

1275 Ramsey St
Ste 600
Shakopee, MN 55379
Phone (507) 450-8767

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1790355857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 RAMSEY ST",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793133",
            "telephone_number": "952-977-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 RAMSEY ST",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793133",
            "telephone_number": "952-977-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPPEN",
        "first_name": "TANNER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.