Andrew Poquette, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6786 Issued in MN

Practice address

4660 Slater Rd Ste 140
Eagan, MN 55122-4049

Phone

(651) 452-3900

NPI assigned

Jan 4, 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

Northwestern College of Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gregg M Poquette B.S. D.C. P.a.Group PAC ID 1658550496, 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 and National Provider Directory roles.

• Gregg M Poquette B.S. D.C. P.a.

  • Clinic/Center
  • Eagan, MN
  • NPI 1033306147

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Gregg M Poquette BS DC PA

  • Clinic/Center
  • Eagan, MN
  • NPI 1902130750
  NPD (past)
• Lifeclinic PA

  • Rehabilitation Chiropractor
  • St Louis Park, MN
  • NPI 1922416064
  NPD (past)

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1104414481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 KYLE WAY",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 SLATER RD STE 140",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224049",
            "telephone_number": "651-452-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POQUETTE",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles E Pogemiller Sr., MD
• Michelle Megan Pohlod, CPHT
• Kiersten Lee Polaschek, DC
• Catherine Elizabeth Polovick, L.AC.
• Aaron Pope, MS, CFY-SLP
• Gregg Michael Poquette, D.C.
• Positive Transition Health LLC
• Charles John Poth
• Joseph Potter, PT, DPT
• Kiran Powers

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

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