Active NPI
David James Cole, D.C.
- Chiropractor
- Chanhassen, MN
National Provider Identifier
1932325636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3418
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3418 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Chiropractic PSC | Chiropractor | Current | Accepting new patients |
| Lavin Family Chiropractic Center Inc | Chiropractor | Past | 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.
-
- Chiropractor
- Redwood Falls, MN
- NPI 1629450069
-
- Chiropractor
- Granite Falls, MN
- NPI 1740497452
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
- Claire Debenedetto LLC
- Clarkson Optometry Inc (Clarkson Eyecare)
- Sawyer Lee Clement
- Kyle Dean Clevenger, DPT
- Alexander George Cole, PHARMD.
- Complementary Support Services
- Tori-Thuy Thi Conrad, DDS
- Counseling and Therapeutic Support Services PLLC
- Bethany Lynn Curnow, D.C.
- Benjamin David Curtis, D.D.S
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.