Individual provider Active NPI

Joyce Cundiff, DC

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1205488244
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6625 Issued in MN
Practice address
3018 W 56TH St
Minneapolis, MN 55410-2474
Phone
(612) 361-0068
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 6625 MN
Chiropractor 111N00000X 6625 MN Primary

Addresses

Primary practice location

3018 W 56TH St
Minneapolis, MN 55410-2474

Mailing address

8441 Wayzata Blvd Ste 370
Minneapolis, MN 55426-1386
Phone (952) 345-8244

Other practice location 1

6125 Upton Ave S
Minneapolis, MN 55410-2927
Phone (612) 361-0068

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.treeoflifechiropractic.biz/

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revitalize Health & Wellness, LLC Chiropractor PastSince Jul 3, 2022 Accepting new patients

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1205488244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 WAYZATA BLVD STE 370",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554261386",
            "telephone_number": "952-345-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 W 56TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102474",
            "telephone_number": "612-361-0068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6125 Upton Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554102927",
            "country_code": "US",
            "telephone_number": "612-361-0068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNDIFF",
        "first_name": "JOYCE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MN",
            "license": "6625",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.treeoflifechiropractic.biz/",
            "affiliation": "N",
            "endpointDescription": "Chiropractic clinic",
            "address_1": "8441 Wayzata Blvd Ste 370",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554261386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.