Michael Douglas Head, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3281 Issued in MN

Practice address

5922 Lexington Ave N
Shoreview, MN 55126-5604

Phone

(651) 784-3396

Fax

(651) 784-7247

NPI assigned

Jul 12, 2006

Last updated

Feb 10, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Willow Creek Chiropractic, PA

  • Chiropractor
  • Shoreview, MN
  • NPI 1831278449
  Authorized official Same address or phone
• East St Paul Health PA

  • Chiropractor
  • Saint Paul, MN
  • NPI 1376967489
  NPD (past)
• Shoreview Spine and Sport Family Chiropractic, LLC

  • Chiropractor
  • Shoreview, MN
  • NPI 1841536323
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1801811880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 LEXINGTON AVE N",
            "address_2": "SUITE 900",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268069",
            "telephone_number": "651-784-3396",
            "fax_number": "651-784-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5922 LEXINGTON AVE N",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265604",
            "telephone_number": "651-784-3396",
            "fax_number": "651-784-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "MICHAEL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "4400056",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN FOR HEALTHPARTNERS",
            "identifier": "79279",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCMI ID",
            "identifier": "231934",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7711328-00",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN ID INDIVIDUAL",
            "identifier": "35P23HE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN CLINIC ID",
            "identifier": "35P22WI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Harris
• Jayne M Hart, DPT
• Samira Omar Hassan
• Mary Ruth Hayes I, C.N.M.
• Melanie Haynes, LGSW
• Michael Henderson, DDS
• Toni Henning, MS, CCC-SLP
• Amy Beth Hertle, L.I.C.S.W., L.P.
• Levi John Hibma
• Annie Elizabeth Hinnenkamp

• Chiropractor in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.