Individual provider Active NPI

Jenna Beigle, D.C.

  • Chiropractor
  • Forest Lake, MN
National Provider Identifier
1215478557
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6301 Issued in MN
Practice address
255 Highway 97 Unit 2a
Forest Lake, MN 55025-2687
Phone
(651) 464-0800
Fax
(651) 982-6289
NPI assigned
Mar 20, 2017
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6301 MN Primary

Addresses

Primary practice location

255 Highway 97 Unit 2a
Forest Lake, MN 55025-2687

Mailing address

255 Highway 97 Unit 2a
Forest Lake, MN 55025-2687
Phone (651) 464-0800

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewoods Chiropractic P.a. Chiropractor PastSince Feb 9, 1999 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1215478557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 HIGHWAY 97 UNIT 2A",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252687",
            "telephone_number": "651-464-0800",
            "fax_number": "651-982-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 HIGHWAY 97 UNIT 2A",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252687",
            "telephone_number": "651-464-0800",
            "fax_number": "651-982-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEIGLE",
        "first_name": "JENNA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.