Individual provider Active NPI

Dylan Mathew Teske, DC

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1083351886
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6900 Issued in MN
Practice address
1820 Rice St
Saint Paul, MN 55113-6810
Phone
(651) 489-6550
NPI assigned
May 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6900 MN Primary

Addresses

Primary practice location

1820 Rice St
Saint Paul, MN 55113-6810

Mailing address

4380 Parklawn Ave Apt 101
Edina, MN 55435-4633
Phone (701) 440-0131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831001598 MN Practitioner - Chiropractic 0345624946 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6900MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jason a Smith DC PA Chiropractor CurrentSince Feb 27, 2024 Accepting new patients
Lindstrom Chiropractic Center, P.a. Chiropractor Current Accepting new patients
Club West Chiropractic PA Chiropractor CurrentSince Jul 9, 2023 Accepting new patients
Lindstrom Chiropractic Center, PA Chiropractor CurrentSince Jun 21, 2022 Accepting new patients

Locations

12099 Lindstrom Ln
Lindstrom, MN 55045
Phone (651) 243-8967

10950 Club West Pkwy
Ste 190
Minneapolis, MN 55449
Phone (763) 400-4940

1820 Rice St
Saint Paul, MN 55113
Phone (651) 489-6550

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": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1083351886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 PARKLAWN AVE APT 101",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354633",
            "telephone_number": "701-440-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 RICE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551136810",
            "telephone_number": "651-489-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESKE",
        "first_name": "DYLAN",
        "middle_name": "MATHEW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-13",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.