Individual provider Active NPI

Angela Marie Maurer, D.C.

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1962597997
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4853 Issued in MN
Practice address
3805 Silver Lake Rd NE Unit 400
Minneapolis, MN 55421-4226
Phone
(612) 789-1700
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4853 MN Primary

Addresses

Primary practice location

3805 Silver Lake Rd NE Unit 400
Minneapolis, MN 55421-4226

Mailing address

3803 Silver Lake Rd NE
Unit 100
Minneapolis, MN 55421-4574
Phone (612) 789-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061106000167 MN Practitioner - Chiropractic 1951308949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthwise Family Chiropractic, P.a.Group PAC ID 0345249736, 3 clinicians

Practice addresses (Care Compare)

3803 Silver Lake Rd NE
Suite 100
Minneapolis, MN 55421-4575
Phone (612) 789-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4853MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwise Family Chiropractic, P.a. Chiropractor CurrentSince Dec 13, 2006 Accepting new patients

Locations

3803 Silver Lake Rd NE
Ste 100
Saint Anthony, MN 55421
Phone (612) 712-1993

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1962597997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 SILVER LAKE RD NE",
            "address_2": "UNIT 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554214574",
            "telephone_number": "612-789-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 SILVER LAKE RD NE UNIT 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554214226",
            "telephone_number": "612-789-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.