Organization Active NPI

Jennifer Bestick DC, LLC

  • Chiropractor
  • Waite Park, MN
National Provider Identifier
1043457500
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JENNIFER BESTICK DC, LLC
Practice address
750 1St St S Ste 103
Waite Park, MN 56387-1315
Phone
(320) 420-1204
NPI assigned
Jan 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Authorized official

Name
Dr. Jennifer Lynn Bestick, D.C.
Title
Chiropractor
Phone
(320) 420-1204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

750 1St St S Ste 103
Waite Park, MN 56387-1315

Mailing address

417 9TH Ave N
Sartell, MN 56377-1991
Phone (320) 420-1204

National Provider Directory

National Provider Directory

Locations

750 1st St S
#103
Waite Park, MN 56387
Phone (320) 240-6561

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1043457500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 9TH AVE N",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771991",
            "telephone_number": "320-420-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 1ST ST S STE 103",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871315",
            "telephone_number": "320-420-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BESTICK DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "BESTICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "320-420-1204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waite Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.