Individual provider Active NPI

Scott Thomas Junge, D.C.

  • Chiropractor
  • Rochester, MN
National Provider Identifier
1043523046
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5366 Issued in MN
Practice address
4164 18TH Ave NW
Rochester, MN 55901-0474
Phone
(507) 208-4481
Fax
(507) 208-4482
NPI assigned
Jul 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5366 MN Primary

Addresses

Primary practice location

4164 18TH Ave NW
Rochester, MN 55901-0474

Mailing address

4164 18TH Ave NW
Rochester, MN 55901-0474
Phone (507) 208-4481

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011001209 MN Practitioner - Chiropractic 4789876509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Junge Family Chiropractic PLLCGroup PAC ID 7416149232, 2 clinicians

Practice addresses (Care Compare)

4164 18TH Ave NW
Rochester, MN 55901-0474
Phone (507) 208-4481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5366MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Junge Family Chiropractic, PLLC Chiropractor CurrentSince Sep 13, 2010 Accepting new patients

Locations

4164 18th Ave NW
Rochester, MN 55901
Phone (507) 208-4481

Organizations & group practices 1

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1043523046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4164 18TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010474",
            "telephone_number": "507-208-4481",
            "fax_number": "507-208-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 18TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010474",
            "telephone_number": "507-208-4481",
            "fax_number": "507-208-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGE",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.