DR. THOMAS DEWALL (D.C.) – Chiropractor, NPI 1548202591

DR. THOMAS DEWALL (D.C.) is a healthcare provider. based in Elk river, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 4224 (MN). The NPI Number for DR. THOMAS DEWALL (D.C.) is 1548202591

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS DEWALL (D.C.)
NPI
1548202591
Phone
(763) 441-0644
Address
804 FREEPORT AVE NW
Enumeration Date
12 June 2006
Last Update Date
22 July 2009

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
7634410999
Graduation Year
2002 (24 years ago)
PAC ID
6204846504
Group Practice PAC ID
3072563170
Professional Enrollment ID
I20060502000279
Address ID
MN553301773EL18322NWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

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Provider Addresses for DR. THOMAS DEWALL (D.C.)

  • 804, Freeport Avenue Northwest, Elk River, Sherburne County, Minnesota, 55330, United States

    SUITE C

    ELK RIVER, MN 553302632

    Phone: (763) 441-0644

    Fax: (763) 441-4263

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060502000279IChiropracticMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55330)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072563170View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

Where can patients find DR. THOMAS DEWALL (D.C.)'s NPI?
You can confirm DR. THOMAS DEWALL (D.C.) with NPI 1548202591; it appears in the national provider directory.
Is DR. THOMAS DEWALL (D.C.) active in the national directory?
DR. THOMAS DEWALL (D.C.)'s public NPI profile is in an active state.
What field does DR. THOMAS DEWALL (D.C.) work in?
You can think of DR. THOMAS DEWALL (D.C.) as practicing within Chiropractor. Clinical services aligned with this taxonomy classification.
What location shows for DR. THOMAS DEWALL (D.C.)?
We surface Elk River, Minnesota for DR. THOMAS DEWALL (D.C.) based on available NPPES addresses.
Is DR. THOMAS DEWALL (D.C.) a real provider?
This page reflects official NPPES data for NPI 1548202591. Always confirm identity and privileges with the practice and licensing boards.

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