Active NPI
Douglas Huntley Angove, DC
- Chiropractor
- Golden Valley, MN
National Provider Identifier
1871594721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1703
- Practice address
- 1608 Hillsboro Ave No
Golden Valley, MN 55427 - Phone
- (763) 545-3317
- Fax
- (763) 545-3317
- NPI assigned
- Aug 2, 2005
- Last updated
- Nov 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1703 | MN | Primary |
Addresses
Primary practice location
1608 Hillsboro Ave No
Golden Valley, MN 55427
Mailing address
1608 Hillsboro Ave No
Golden Valley, MN 55427
Phone (763) 545-3317
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 817527600 | Medicaid | MN | |
| 59333AN | Other | MN | BCBS OF MN ID |
| OD422AN | Other | MN | BCBS PRACTICE ID |
| 1703 | Other | MN | STATE LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050504001043 | MN | Practitioner - Chiropractic | 6901846476 | Practice locations: Golden Valley, MN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1608 Hillsboro N Ave
Golden Valley, MN 55427-3708
Phone (763) 545-3317
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1703 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1871594721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 HILLSBORO AVE NO",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "55427",
"telephone_number": "763-545-3317",
"fax_number": "763-545-3317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 HILLSBORO AVE NO",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "55427",
"telephone_number": "763-545-3317",
"fax_number": "763-545-3317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGOVE",
"first_name": "DOUGLAS",
"middle_name": "HUNTLEY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "1703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "817527600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN ID",
"identifier": "59333AN",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PRACTICE ID",
"identifier": "OD422AN",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "1703",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.