Individual provider Active NPI

Danaca Ann Janiszeski, D.C.

  • Chiropractor
  • Tyler, MN
National Provider Identifier
1053856294
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6310 Issued in MN
Practice address
251 N Tyler St
Tyler, MN 56178-1161
Phone
(507) 247-3249
Fax
(507) 247-3250
NPI assigned
Dec 26, 2016
Last updated
Dec 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6310 MN Primary

Addresses

Primary practice location

251 N Tyler St
Tyler, MN 56178-1161

Mailing address

251 N Tyler St
Tyler, MN 56178-1161
Phone (507) 247-3249

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170109003148 MN Practitioner - Chiropractic 1456632264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

116 E Bradley St
Tyler, MN 56178-1102
Phone (507) 247-8883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6310MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Align Family Chiropractic LLC Chiropractor CurrentSince Apr 22, 2018 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1053856294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N TYLER ST",
            "city": "TYLER",
            "state": "MN",
            "postal_code": "561781161",
            "telephone_number": "507-247-3249",
            "fax_number": "507-247-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N TYLER ST",
            "city": "TYLER",
            "state": "MN",
            "postal_code": "561781161",
            "telephone_number": "507-247-3249",
            "fax_number": "507-247-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANISZESKI",
        "first_name": "DANACA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-26",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.