Individual provider Active NPI

Jennifer Kay Dahlseid

  • Chiropractor
  • Elk River, MN
National Provider Identifier
1144715236
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6533 Issued in MN
Practice address
200 5TH St NW Ste J
Elk River, MN 55330
Phone
(320) 290-0449
NPI assigned
Jun 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X FL12273 FL
Chiropractor 111N00000X 6533 MN Primary

Addresses

Primary practice location

200 5TH St NW Ste J
Elk River, MN 55330

Mailing address

18140 Zane St NW # 303
Elk River, MN 55330-4505
Phone (320) 290-0449

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181019002231 MN Practitioner - Chiropractic 1254684327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Choices LLCGroup PAC ID 8123382181, 3 clinicians

Practice addresses (Care Compare)

19021 Freeport St NW
Suite 500
Elk River, MN 55330-1279
Phone (763) 241-5436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FL12273FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Choices LLC CurrentSince Sep 13, 2018 Accepting new patients

Locations

19021 Freeport St NW
Ste 500
Elk River, MN 55330
Phone (763) 241-5436

18140 Zane St NW
Elk River, MN 55330
Phone (612) 293-0427

200 5th St NW
Ste J
Elk River, MN 55330
Phone (320) 290-0449

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1144715236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18140 ZANE ST NW # 303",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553304505",
            "telephone_number": "320-290-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 5TH ST NW STE J",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "55330",
            "telephone_number": "320-290-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLSEID",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "FL12273",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.