Individual provider Active NPI

Patrick Arthur Draayer, D.C.

  • Chiropractor
  • Austin, MN
National Provider Identifier
1831477116
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5594 Issued in MN
Practice address
109 1St Ave SE
Ste 1
Austin, MN 55912-3480
Phone
(507) 396-8088
Fax
(507) 396-8089
NPI assigned
Aug 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007426 IA
Chiropractor 111N00000X 5594 MN Primary

Addresses

Primary practice location

109 1St Ave SE
Ste 1
Austin, MN 55912-3480

Mailing address

109 1St Ave SE
Ste 1
Austin, MN 55912-3480
Phone (507) 396-8088

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
5594MNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1831477116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 1ST AVE SE",
            "address_2": "STE 1",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123480",
            "telephone_number": "507-396-8088",
            "fax_number": "507-396-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 1ST AVE SE",
            "address_2": "STE 1",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123480",
            "telephone_number": "507-396-8088",
            "fax_number": "507-396-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAAYER",
        "first_name": "PATRICK",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-03",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007426",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.