Jesse Ray Lillejord, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5333 Issued in MN

Practice address

800 Prairie Center Dr
Suite 200
Eden Prairie, MN 55344-7328

Phone

(952) 943-1188

Fax

(952) 943-1177

NPI assigned

Dec 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jesse Ray West Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1033448634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PRAIRIE CENTER DR",
            "address_2": "SUITE 200",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447328",
            "telephone_number": "952-943-1188",
            "fax_number": "952-943-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRAIRIE CENTER DR",
            "address_2": "SUITE 200",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447328",
            "telephone_number": "952-943-1188",
            "fax_number": "952-943-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLEJORD",
        "first_name": "JESSE",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "WEST",
            "middle_name": "RAY",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Chiropractor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.