DR. THOMAS DEWALL D.C.
NPI 1548202591
Chiropractor in Elk River, MN

Active since June 12, 2006Accepts Medicare Assignment
804 FREEPORT AVE NW, SUITE C, ELK RIVER, MN 55330(763) 441-0644(763) 441-4263 Get Directions Write a Review

NPPES record last updated: July 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thomas Dewall D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS DEWALL D.C. (NPI 1548202591) is an individual chiropractor in Elk River, Minnesota, licensed in Minnesota (4224) and active in the NPI registry since June 2006. He is a graduate of Northwestern College Of Chiropractic (2002).

NPPES Registry Identity

NPI1548202591
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. THOMAS DEWALLCredential: D.C.
Location Address804 FREEPORT AVE NW, SUITE CElk River, MN 55330-2632
Mailing Address804 Freeport Ave Nw, Suite CElk River, MN 55330-2632 · (763) 441-0644 · Fax (763) 441-4263
Fax(763) 441-4263
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2002
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 22, 2009
NPI 1548202591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 4224
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
804 FREEPORT AVE NW, Elk River, MN 55330

Other Identifiers 1

Medicare ID-Type Unspecified350003623MN · Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Dewall D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204846504
PECOS Enrollment IDI20060502000279

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
804 FREEPORT AVE NW, SUITE 5
ELK RIVER, MN 55330
Massage Therapist
804 FREEPORT AVE NW
ELK RIVER, MN 55330
Chiropractor
804 FREEPORT AVE NW, SUITE C
ELK RIVER, MN 55330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Dewall's NPI number?

The NPI number for Thomas Dewall is 1548202591. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Thomas Dewall located?

Thomas Dewall practices at 804 Freeport Ave NW Suite C, Elk River, MN 55330. The listed phone number is (763) 441-0644.

What is Thomas Dewall's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Thomas Dewall enrolled in Medicare?

Yes. Thomas Dewall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Dewall accept?

Health plans from HealthPartners and Medica list Thomas Dewall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Dewall was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.