Individual provider Active NPI

Danielle Aimee Carolyn Veenstra, DC

  • Chiropractor
  • Lakeville, MN
National Provider Identifier
1144974502
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6961 Issued in MN
Practice address
17595 Kenwood TRL Ste 120
Lakeville, MN 55044-7319
Phone
(651) 675-9828
Fax
(651) 401-6468
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6961 MN Primary

Addresses

Primary practice location

17595 Kenwood TRL Ste 120
Lakeville, MN 55044-7319

Mailing address

8028 22ND CT N
Lake Elmo, MN 55042-9307
Phone (651) 675-9828

Other names 1

  • Dr. Danielle Aimee Carolyn Veenstra Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220822001500 MN Practitioner - Chiropractic 7113300310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17595 Kenwood TRL
Suite 120
Lakeville, MN 55044-7319
Phone (651) 401-6494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6961MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Chiropractic LLC Chiropractor CurrentSince Sep 14, 2022 Accepting new patients

Locations

17595 Kenwood Trl
Ste 120
Lakeville, MN 55044
Phone (651) 401-6494

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1144974502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 22ND CT N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550429307",
            "telephone_number": "651-675-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17595 KENWOOD TRL STE 120",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447319",
            "telephone_number": "651-675-9828",
            "fax_number": "651-401-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEENSTRA",
        "first_name": "DANIELLE",
        "middle_name": "AIMEE CAROLYN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "VEENSTRA",
            "middle_name": "AIMEE CAROLYN",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 20, 2022; 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.