Individual provider Active NPI

Daniel John McGraw, DC

  • Chiropractor
  • Shakopee, MN
National Provider Identifier
1851446942
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2195 Issued in MN
Practice address
225 Lewis St S
Shakopee, MN 55379-1448
Phone
(952) 445-6384
Fax
(952) 445-6385
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2195 MN Primary

Addresses

Primary practice location

225 Lewis St S
Shakopee, MN 55379-1448

Mailing address

225 Lewis St S
Shakopee, MN 55379-1448
Phone (952) 445-6384

Other identifiers 4

IdentifierTypeStateIssuer
832528600MedicaidMN
32137MCOtherMNBLUE CROSS/BLUE SHIELD OF MN
0148OtherMNHEALTH SERVICE MANAGEMENT
230549OtherMNCHIRO CARE OF MN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000111 MN Practitioner - Chiropractic 4587600820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 Lewis St S
Shakopee, MN 55379-1448
Phone (952) 445-6384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2195MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
McGraw Chiropractic Clinic PA. Chiropractor CurrentSince Mar 17, 1986 Accepting new patients

Locations

225 Lewis St S
Shakopee, MN 55379
Phone (952) 445-6384

205 Lewis St S
Shakopee, MN 55379
Phone (952) 445-6384

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1851446942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 LEWIS ST S",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791448",
            "telephone_number": "952-445-6384",
            "fax_number": "952-445-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 LEWIS ST S",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791448",
            "telephone_number": "952-445-6384",
            "fax_number": "952-445-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "832528600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF MN",
            "identifier": "32137MC",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SERVICE MANAGEMENT",
            "identifier": "0148",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIRO CARE OF MN",
            "identifier": "230549",
            "state": "MN"
        }
    ],
    "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 Mar 18, 2013; 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.