Individual provider Active NPI

Connor Thelemann, DC

  • Chiropractor
  • Bloomington, MN
National Provider Identifier
1104635697
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7284 Issued in MN
Practice address
2501 W 84TH St
Bloomington, MN 55431-1602
Phone
(952) 432-4444
NPI assigned
Dec 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 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 7284 MN Primary

Addresses

Primary practice location

2501 W 84TH St
Bloomington, MN 55431-1602

Mailing address

15696 Finewood CT
Apple Valley, MN 55124-5810
Phone (952) 297-5188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250124002993 MN Practitioner - Chiropractic 9032648753 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7284MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Spinal Care Associates, P.a. Chiropractor CurrentSince Jan 7, 2025 Accepting new patients

Locations

14859 Energy Way
Saint Paul, MN 55124
Phone (651) 423-5250

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": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1104635697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15696 FINEWOOD CT",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245810",
            "telephone_number": "952-297-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 84TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311602",
            "telephone_number": "952-432-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THELEMANN",
        "first_name": "CONNOR",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.