Individual provider Active NPI

Timothy E Wegscheid, D.C.

  • Chiropractor
  • Eagan, MN
National Provider Identifier
1811966476
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3427 Issued in MN
Practice address
2121 Cliff Dr
Ste 101
Eagan, MN 55122-3407
Phone
(651) 330-3900
Fax
(651) 330-3901
NPI assigned
Mar 16, 2006
Last updated
Nov 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3427 MN Primary

Addresses

Primary practice location

2121 Cliff Dr
Ste 101
Eagan, MN 55122-3407

Mailing address

4555 Erin Dr
Ste 200
Eagan, MN 55122-3432
Phone (651) 330-3900

Other identifiers 4

IdentifierTypeStateIssuer
355425200MedicaidMN
50M08WEOtherMNBCBS IND: TIN #73-1655643
492OtherMNACUPUNCTURE-MN
50M07WEOtherMNBCBS GRP: TIN # 73-1655643

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317000496 MN Practitioner - Chiropractic 1456241157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14033 Commerce Neave
Suite 180
Prior Lake, MN 55372-1438
Phone (952) 447-0985

4640 Slater Rd
Suite 130
Eagan, MN 55122-4043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Tim Wegscheid PA CurrentSince Dec 11, 2007 Accepting new patients
Chiropractic Specialists, Inc. Chiropractor PastSince Jul 21, 1999 Accepting new patients

Locations

2121 Cliff Dr
Ste 101
Eagan, MN 55122
Phone (651) 330-3900

14033 Commerce Ave NE
Ste 180
Prior Lake, MN 55372
Phone (952) 440-5906

2121 Cliff Dr
Ste 203
Saint Paul, MN 55122
Phone (651) 330-3900

4640 Slater Rd
Ste 130
Saint Paul, MN 55122
Phone (651) 330-3900

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1811966476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 ERIN DR",
            "address_2": "STE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223432",
            "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": {
        "last_name": "WEGSCHEID",
        "first_name": "TIMOTHY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355425200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND: TIN #73-1655643",
            "identifier": "50M08WE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE-MN",
            "identifier": "492",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP: TIN # 73-1655643",
            "identifier": "50M07WE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.