Organization Active NPI

Capitol Health & Injury Center, P.a.

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1124562616
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAPITOL HEALTH & INJURY CENTER, P.A.
Practice address
1973 Sloan PL Ste 250
Saint Paul, MN 55117-2181
Phone
(651) 771-2012
Fax
(651) 771-8747
NPI assigned
Dec 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Dr. Jeremy Thomas Hurkman, D.C.NPI 1881885879
Title
President/Chiropractor
Phone
(651) 771-2012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1973 Sloan PL Ste 250
Saint Paul, MN 55117-2181

Mailing address

1973 Sloan PL Ste 250
Saint Paul, MN 55117-2181
Phone (651) 771-2012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170329001032 MN Part B Supplier - Clinic/Group Practice 0345525622 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

1973 Sloan Pl
Ste 250
Saint Paul, MN 55117
Phone (651) 771-2012

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1124562616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 SLOAN PL STE 250",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172181",
            "telephone_number": "651-771-2012",
            "fax_number": "651-771-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 SLOAN PL STE 250",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172181",
            "telephone_number": "651-771-2012",
            "fax_number": "651-771-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL HEALTH & INJURY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "HURKMAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "651-771-2012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.