Pietila Chiropractic

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

4304 Issued in MN

Legal business name

PIETILA CHIROPRACTIC

Practice address

12358 River Ridge Blvd
Burnsville, MN 55337-1665

Phone

(952) 681-7746

Fax

(952) 681-7654

NPI assigned

Oct 1, 2010

Organization subpart

No

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

Authorized official

Name

John R Pietila, DCNPI 1770638520

Title

Owner

Phone

(612) 709-2737

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Robert Pietila, D.C., D.A.C.N.B.

  • Neurology Chiropractor
  • Burnsville, MN
  • NPI 1770638520
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Lynn Engesether, D.C.

  • Chiropractor
  • Bloomington, MN
  • NPI 1033282330
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1083923460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12358 RIVER RIDGE BLVD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371665",
            "telephone_number": "952-681-7746",
            "fax_number": "952-681-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12358 RIVER RIDGE BLVD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371665",
            "telephone_number": "952-681-7746",
            "fax_number": "952-681-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIETILA CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "PIETILA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-709-2737",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "MN",
            "license": "4304",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "MN",
            "license": "4857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piccolino Psychological Services, PA
• Joy Pamela Piccolino, PSYD, LP
• Kristi K Picken, RN,MS,CNS
• Kathryn M Pieper, COTA
• Susan Marie Piepgras, MSW, LICSW
• John Robert Pietila, D.C., D.A.C.N.B.
• Piff Holdings, P.C.
• Shannon Pikka, LPC
• Brie Pileggi, PSY.D., LP, ABPP
• Pillarpoint Healthcare Services LLC

• Neurology Chiropractor in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Neurology Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.