Individual provider Active NPI

Jason Aza Senecal, D.C.

  • Chiropractor
  • Apple Valley, MN
National Provider Identifier
1063544906
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3740 Issued in MN
Practice address
14135 Cedar Ave Ste 400
Apple Valley, MN 55124-4526
Phone
(952) 432-5550
Fax
(952) 432-0057
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3740 MN Primary

Addresses

Primary practice location

14135 Cedar Ave Ste 400
Apple Valley, MN 55124-4526

Mailing address

14135 Cedar Ave Ste 400
Apple Valley, MN 55124-4526
Phone (952) 432-5550

Other identifiers 3

IdentifierTypeStateIssuer
99D52CEOtherMNBLUE CROSS BLUE SHEILD
280448400MedicaidMN
895564OtherMNARAZ

Other names 1

  • Dr. Jason Aza Senecal Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120611000540 MN Practitioner - Chiropractic 6608030267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14135 Cedar Ave
Suite 400
Apple Valley, MN 55124-4526
Phone (952) 432-5550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar South Chiropractic, P.a. Chiropractor CurrentSince Jun 13, 2017 Accepting new patients
Wildenauer Chiropractic Clinic LTD Chiropractor Past Accepting new patients
Back in Balance Chiropractic, PA Chiropractor Past Accepting new patients
Taffe Chiropractic, P.a. Chiropractor PastSince Feb 20, 2013 Accepting new patients

Locations

14135 Cedar Ave
Ste 400
Saint Paul, MN 55124
Phone (952) 432-5550

Organizations & group practices 4

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1063544906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14135 CEDAR AVE STE 400",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244526",
            "telephone_number": "952-432-5550",
            "fax_number": "952-432-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 CEDAR AVE STE 400",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244526",
            "telephone_number": "952-432-5550",
            "fax_number": "952-432-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENECAL",
        "first_name": "JASON",
        "middle_name": "AZA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "99D52CE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280448400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ",
            "identifier": "895564",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "SENECAL",
            "middle_name": "AZA",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.