Individual provider Active NPI

Jacob Bradley Dalbec, D.C.

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1215265335
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5289 Issued in MN
Practice address
33 Hamline Ave S
Saint Paul, MN 55105-2231
Phone
(651) 690-0866
Fax
(651) 690-0031
NPI assigned
Dec 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5289 MN Primary

Addresses

Primary practice location

33 Hamline Ave S
Saint Paul, MN 55105-2231

Mailing address

33 Hamline Ave S
Saint Paul, MN 55105-2231
Phone (651) 690-0866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100226000718 MN Practitioner - Chiropractic 6305981556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acupuncture and Chiropractic Limited, PLLCGroup PAC ID 6406188234, 2 clinicians

Practice addresses (Care Compare)

232 Snelling Ave S
Saint Paul, MN 55105-1944
Phone (651) 219-4114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture and Chiropractic Limited, PLLC Chiropractor CurrentSince Jun 7, 2025 Accepting new patients
Ascend Sport and Spine, PA Chiropractor Current Accepting new patients

Locations

232 Snelling Ave S
Saint Paul, MN 55105
Phone (651) 219-4114

Organizations & group practices 3

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": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1215265335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HAMLINE AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052231",
            "telephone_number": "651-690-0866",
            "fax_number": "651-690-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 HAMLINE AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052231",
            "telephone_number": "651-690-0866",
            "fax_number": "651-690-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALBEC",
        "first_name": "JACOB",
        "middle_name": "BRADLEY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-01",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5289",
            "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 Oct 16, 2019; 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.