Individual provider Active NPI

Richard Andrew Saggau, DC BCAO

  • Chiropractor
  • Mankato, MN
National Provider Identifier
1972683415
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3317 Issued in MN
Practice address
83 Navaho Ave
Suite 26
Mankato, MN 56001-4832
Phone
(507) 625-9060
Fax
(507) 625-2350
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3317 MN Primary
Chiropractor 111N00000X A05881 IA

Addresses

Primary practice location

83 Navaho Ave
Suite 26
Mankato, MN 56001-4832

Mailing address

83 Navaho Avenue, Suite #26
Mankato, MN 56001
Phone (507) 625-9060

Other identifiers 2

IdentifierTypeStateIssuer
19G97SAOtherMNBLUE CROSS BLUE SHIELD
507312000MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050516000285 MN Practitioner - Chiropractic 3274574793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

83 Navaho Ave
Suite 26
Mankato, MN 56001-4832
Phone (507) 625-9060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A05881IAMDChiropractor
3317MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Saggau Chiropractic Clinic, LTD. CurrentSince Jan 1, 2003 Accepting new patients

Locations

83 Navaho Ave
Ste 26
Mankato, MN 56001
Phone (507) 625-9060

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972683415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 NAVAHO AVENUE, SUITE #26",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-625-9060",
            "fax_number": "507-625-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 NAVAHO AVE",
            "address_2": "SUITE 26",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014832",
            "telephone_number": "507-625-9060",
            "fax_number": "507-625-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGGAU",
        "first_name": "RICHARD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC BCAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3317",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05881",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19G97SA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507312000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, 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.