Individual provider Active NPI

Jacob John Filkins, D.C.

  • Chiropractor
  • Lakeville, MN
National Provider Identifier
1073028585
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6426 Issued in MN
Practice address
17502 Dodd Blvd
Lakeville, MN 55044-5268
Phone
(952) 431-7400
NPI assigned
Dec 6, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6426 MN Primary

Addresses

Primary practice location

17502 Dodd Blvd
Lakeville, MN 55044-5268

Mailing address

17502 Dodd Blvd
Lakeville, MN 55044-5268
Phone (952) 431-7400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180301000477 MN Practitioner - Chiropractic 8022379304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic and Wellness PAGroup PAC ID 7012007719, 3 clinicians

Practice addresses (Care Compare)

17502 Dodd Blvd
Lakeville, MN 55044-5268
Phone (952) 431-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6426MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic and Wellness, P.a. Chiropractor CurrentSince Aug 24, 2019 Accepting new patients

Locations

17502 Dodd Blvd
Lakeville, MN 55044
Phone (952) 431-7274

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": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1073028585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17502 DODD BLVD",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445268",
            "telephone_number": "952-431-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17502 DODD BLVD",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445268",
            "telephone_number": "952-431-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILKINS",
        "first_name": "JACOB",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-06",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.