Individual provider Active NPI

Jeffrey John Sailer, DC.

  • Chiropractor
  • Sartell, MN
National Provider Identifier
1003977265
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4676 Issued in MN
Practice address
234 Pinecone Rd Ste B
Sartell, MN 56377-2504
Phone
(320) 253-5255
Fax
(320) 253-5260
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4676 MN Primary

Addresses

Primary practice location

234 Pinecone Rd Ste B
Sartell, MN 56377-2504

Mailing address

234 Pine Cone Rd Ste B
Sartell, MN 56377-2504
Phone (320) 253-5255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050802000076 MN Practitioner - Chiropractic 7113955006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sailer Family Chiropractic P.a.Group PAC ID 2961676093, 2 clinicians

Practice addresses (Care Compare)

234 Pine Cone Rd
Suite B
Sartell, MN 56377-2504
Phone (320) 253-5255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4676MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sailer Family Chiropractic P.a. Chiropractor CurrentSince Sep 11, 2011 Accepting new patients
Relax and Recover Massage LLC PastSince Sep 11, 2011 Accepting new patients

Locations

234 Pine Cone Rd
Ste B
Sartell, MN 56377
Phone (320) 253-5255

234 Pine Cone Rd
Sartell, MN 56377
Phone (320) 253-5255

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1003977265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 PINE CONE RD STE B",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772504",
            "telephone_number": "320-253-5255",
            "fax_number": "320-253-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 PINECONE RD STE B",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772504",
            "telephone_number": "320-253-5255",
            "fax_number": "320-253-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAILER",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.