Triston John Letourneau, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6839 Issued in MN

Practice address

7945 Stone Creek Dr Ste 120
Chanhassen, MN 55317-4606

Phone

(952) 300-8338

NPI assigned

Jun 29, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

North Star Medical PLLCGroup PAC ID 8123545712, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• North Star Medical PLLC

  • Chiropractor
  • White Bear Lake, MN
  • NPI 1548068968
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1093385361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 STONE CREEK DR STE 120",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174606",
            "telephone_number": "952-300-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 STONE CREEK DR STE 120",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174606",
            "telephone_number": "952-300-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETOURNEAU",
        "first_name": "TRISTON",
        "middle_name": "JOHN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Larson, D.C.
• Jill M Lawrence, PT
• Stephen K Leenay, M.D.
• Bradley Dean Lembke, DDS
• Michael Jeffery Leonard, DDS
• Robert James Lindsey, D.C.
• Live Well Chiropractic Spa and Acupuncture Center
• Lisa Logelin
• Lucas Myeong-Kil Lund
• Luxealign PLLC

• Chiropractor in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.