Gregory Eugene Eastlund, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2591 Issued in MN

Practice address

3035 White Bear Ave N Ste 10
Maplewood, MN 55109-1321

Phone

(651) 779-9282

Fax

(651) 779-8247

NPI assigned

Jun 23, 2005

Last updated

Mar 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bartlett Family Chiropractic LLC

  • Chiropractor
  • Maplewood, MN
  • NPI 1487337044
  NPD

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1144226200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 WHITE BEAR AVE N STE 10",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091321",
            "telephone_number": "651-779-9282",
            "fax_number": "651-779-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 WHITE BEAR AVE N STE 10",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091321",
            "telephone_number": "651-779-9282",
            "fax_number": "651-779-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTLUND",
        "first_name": "GREGORY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "672328400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sekou Dukuly
• Megan Dutton, DNP
• Paul Robert Duxbury, PT
• Dynamic Connections, Inc.
• Kathleen Dynan
• Thomas Ebert, DPT
• Ecumen
• Ecumen (Ecumen Seasons at Maplewood)
• Sahar Edalatpour, DDS
• Karen Edquist, M.ED.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.