Active NPI
Valeriy Telkov, DC
- Chiropractor
- Lakeville, MN
National Provider Identifier
1114403391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6518
- Practice address
- 20176 Heritage Dr
Lakeville, MN 55044-6855 - Phone
- (952) 985-8808
- NPI assigned
- Jul 11, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6518 | MN | Primary |
Addresses
Primary practice location
20176 Heritage Dr
Lakeville, MN 55044-6855
Mailing address
20176 Heritage Dr
Lakeville, MN 55044-6855
Phone (952) 985-8808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0044-0912451 | Other | MN | MEDICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1114403391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20176 HERITAGE DR",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550446855",
"telephone_number": "952-985-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20176 HERITAGE DR",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550446855",
"telephone_number": "952-985-8808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELKOV",
"first_name": "VALERIY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-11",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0044-0912451",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.