Dan P Bilderback, DR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6629 Issued in MN

Practice address

1633 Robert St S Ste B
Saint Paul, MN 55118-3973

Phone

(651) 451-6839

NPI assigned

Jun 5, 2019

Last updated

Jun 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Daniel Phillip Bilderback Professional name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allen Rydberg P.a.Group PAC ID 8325223506, 2 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allen Rydberg P.a.

  dba Restore-U Chiropractic

  • Chiropractor
  • West St Paul, MN
  • NPI 1164724332
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1891353678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 WINNETKA AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284933",
            "telephone_number": "715-554-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 ROBERT ST S STE B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551183973",
            "telephone_number": "651-451-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILDERBACK",
        "first_name": "DAN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "DR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "BILDERBACK",
            "middle_name": "PHILLIP",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tricia K Biittner-Sarff, CRNA
• Kristin Michele Bil, DNP, CNP, FNP-BC
• Bilan Transportation Inc
• Alba Bilani, DDS
• Ana Bilben, L. AC.
• Elizabeth Marie Bilderback
• Ferdowsa Abdi Bile
• Abdikhadar Hajir Bille
• Clinton James Billhorn, PA
• Alexandra Marie Billington

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.