Organization Active NPI

Twin Cities Anaplastology

  • Customized Equipment (DME)
  • West Saint Paul, MN
National Provider Identifier
1912367368
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
TWIN CITIES ANAPLASTOLOGY
Practice address
1880 Livingston Ave Ste 103
West Saint Paul, MN 55118-3426
Phone
(651) 340-5594
Fax
(844) 632-8258
NPI assigned
Feb 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Michaela Erin CalhounNPI 1699135533
Title
Clinical Director
Phone
(651) 340-5594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1880 Livingston Ave Ste 103
West Saint Paul, MN 55118-3426

Mailing address

1880 Livingston Ave Ste 103
West Saint Paul, MN 55118-3426
Phone (651) 340-5594

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170110000662 MN DME Supplier - Prosthetic PersonnelDME Supplier - OtherDME Supplier - Ocularist 2567743305 Practice locations: West St Paul, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Prosthetics at Graphica Medica1880 Livingston Ave, West St Paul, MN 55118-3426(651) 340-5594 Breast Prostheses and/or Accessories|Facial Prostheses|Ocular Prostheses|Somatic Prostheses Does not accept assignmentParticipating since Apr 8, 2016

National Provider Directory

National Provider Directory

Locations

1880 Livingston Ave
Ste 103
West St Paul, MN 55118
Phone (651) 340-5594

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1912367368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LIVINGSTON AVE STE 103",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183426",
            "telephone_number": "651-340-5594",
            "fax_number": "844-632-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LIVINGSTON AVE STE 103",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183426",
            "telephone_number": "651-340-5594",
            "fax_number": "844-632-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES ANAPLASTOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-28",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "651-340-5594"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.