Alex P Twenge

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

6639 Issued in MN

Practice address

23505 Smithtown Rd Ste 100
Excelsior, MN 55331-4542

Phone

(952) 470-8555

NPI assigned

Jun 3, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrate Chiropractic PLLC

  • Chiropractor
  • Burnsville, MN
  • NPI 1295366888

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Knewtson Family Chiropractic PA

  • Chiropractor
  • Excelsior, MN
  • NPI 1477589109

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1891353074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23505 SMITHTOWN RD STE 100",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553314542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23505 SMITHTOWN RD STE 100",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553314542",
            "telephone_number": "952-470-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWENGE",
        "first_name": "ALEX",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "6639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Trabing, M.A., CCC-SLP
• Makenna Tramp
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• Sondra Lee Traylor, D.C., L.AC.
• Kelly Trombley, M.A. CCC-SLP
• Tomasina Marie Uttecht
• Maureen Pauly Utz, MD
• Nichole Marie Vanecek
• Mai Moua Vang, NP
• Visionary Eye Care Services, PLLC

• Sports Physician Chiropractor in Excelsior, MN
• Providers in Excelsior, MN by specialty
• Sports Physician Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.