Individual provider Active NPI

David James Cole, D.C.

  • Chiropractor
  • Chanhassen, MN
National Provider Identifier
1932325636
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3418 Issued in MN
Practice address
854 W 78TH St
Suite 204
Chanhassen, MN 55317-9578
Phone
(952) 401-9267
Fax
(952) 401-9269
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3418 MN Primary

Addresses

Primary practice location

854 W 78TH St
Suite 204
Chanhassen, MN 55317-9578

Mailing address

8416 Humboldt Ave S
Bloomington, MN 55431-1754
Phone (952) 200-6366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000441 MN Practitioner - Chiropractic 3476585621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Redwood Chiropractic PSCGroup PAC ID 9032426739, 3 clinicians

Practice addresses (Care Compare)

821 E Bridge St
Redwood Falls, MN 56283-1801
Phone (507) 637-2574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3418MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Chiropractic PSC Chiropractor CurrentSince Sep 5, 2024 Accepting new patients
Lavin Family Chiropractic Center Inc Chiropractor PastSince Feb 15, 2003 Accepting new patients

Locations

821 E Bridge St
Redwood Falls, MN 56283
Phone (507) 637-8585

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932325636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 HUMBOLDT AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311754",
            "telephone_number": "952-200-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 W 78TH ST",
            "address_2": "SUITE 204",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179578",
            "telephone_number": "952-401-9267",
            "fax_number": "952-401-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.