Individual provider Active NPI

Matthew Devinney, DC

  • Chiropractor
  • Howard Lake, MN
National Provider Identifier
1922466457
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6185 Issued in MN
Practice address
1116 6TH St
Howard Lake, MN 55349
Phone
(320) 543-1103
Fax
(320) 543-1105
NPI assigned
Jan 28, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6185 MN Primary

Addresses

Primary practice location

1116 6TH St
Howard Lake, MN 55349

Mailing address

PO Box 737
Howard Lake, MN 55349-0737
Phone (320) 543-1103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160401002086 MN Practitioner - Chiropractic 1153628318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Choice ChiropracticGroup PAC ID 3375522774, 3 clinicians

Practice addresses (Care Compare)

1116 6TH St
Howard Lake, MN 55349-5676
Phone (320) 543-1103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scott L. Stinson, DC, LTD. CurrentSince Mar 31, 2016 Accepting new patients
Preferred Choice Chiropractic CurrentSince Feb 1, 2017 Accepting new patients

Locations

621 Parker Ave W
Dassel, MN 55325
Phone (320) 275-1304

6115 Cahill Ave
Ste 1
Inver Grove Heights, MN 55076
Phone (651) 451-7222

703 Thielen Dr
Saint Michael, MN 55376
Phone (763) 497-1152

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, 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": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922466457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "HOWARD LAKE",
            "state": "MN",
            "postal_code": "553490737",
            "telephone_number": "320-543-1103",
            "fax_number": "320-543-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 6TH ST",
            "city": "HOWARD LAKE",
            "state": "MN",
            "postal_code": "55349",
            "telephone_number": "320-543-1103",
            "fax_number": "320-543-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINNEY",
        "first_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.