Individual provider Active NPI

Daniel J Brown, DC

  • Chiropractor
  • Shoreview, MN
National Provider Identifier
1881355972
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6927 Issued in MN
Practice address
3570 Lexington Ave N Ste 208
Shoreview, MN 55126-8058
Phone
(651) 400-7026
Fax
(651) 481-8051
NPI assigned
Jan 1, 2022
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6927 MN Primary
Sports Physician Chiropractor 111NS0005X 6927 MN

Addresses

Primary practice location

3570 Lexington Ave N Ste 208
Shoreview, MN 55126-8058

Mailing address

12919 Oliver Ave S
Burnsville, MN 55337-2091
Phone (952) 388-9061

Other practice location 1

12919 Oliver Ave S
Burnsville, MN 55337-2091
Phone (952) 388-9061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231027003408 MN Practitioner - Chiropractic 7113373069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millsop Chiropractic, P.a.Group PAC ID 2062582208, 3 clinicians

Practice addresses (Care Compare)

3570 Lexington Ave N
Suite 208
Shoreview, MN 55126-8058
Phone (651) 400-7026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Millsop Chiropractic, P.a. Chiropractor CurrentSince Sep 20, 2023 Accepting new patients
Vector Sport and Spine : Chiro & Rehab PLLC Sports Physician CurrentSince Jan 26, 2022 Accepting new patients
Preferred Chiropractic Associates Inc Single Specialty CurrentSince Sep 10, 2023 Accepting new patients

Locations

3570 Lexington Ave N
Ste 208
Shoreview, MN 55126
Phone (651) 400-7026

Organizations & group practices 3

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": "1640995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1881355972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12919 OLIVER AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372091",
            "telephone_number": "952-388-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 LEXINGTON AVE N STE 208",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268058",
            "telephone_number": "651-400-7026",
            "fax_number": "651-481-8051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12919 Oliver Ave S",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553372091",
            "country_code": "US",
            "telephone_number": "952-388-9061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-01",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6927",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "6927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.