Individual provider Active NPI

Tyler J Hasse, D.C.

  • Chiropractor
  • Plymouth, MN
National Provider Identifier
1891065702
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5600 Issued in MN
Practice address
4345 Nathan LN N
Suite F
Plymouth, MN 55442-4522
Phone
(763) 536-1112
NPI assigned
Jan 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5600 MN Primary

Addresses

Primary practice location

4345 Nathan LN N
Suite F
Plymouth, MN 55442-4522

Mailing address

2350 Ridge Dr Apt 109
St Louis Park, MN 55416-5651

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120827000622 MN Practitioner - Chiropractic 8527215524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1475 White Oak Dr
Chaska, MN 55318-4571
Phone (952) 361-4844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5600MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hasse Chiropractic, P.a. Chiropractor CurrentSince Jul 1, 2013 Accepting new patients
Advanced Chiropractic Health PA Chiropractor PastSince Jan 1, 2022 Accepting new patients

Locations

1475 White Oak Dr
Ste 300
Chaska, MN 55318
Phone (952) 368-4700

1475 White Oak Dr
Chaska, MN 55318
Phone (952) 361-4844

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1891065702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 RIDGE DR APT 109",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 NATHAN LN N",
            "address_2": "SUITE F",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554424522",
            "telephone_number": "763-536-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSE",
        "first_name": "TYLER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.