Individual provider Active NPI

Dennis John Lenselink, DC

  • Chiropractor
  • Bloomington, MN
National Provider Identifier
1225179971
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1815 Issued in MN
Practice address
5001 American Blvd W
Suite 945
Bloomington, MN 55437-1162
Phone
(952) 835-6653
Fax
(952) 835-3895
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1815 MN Primary
Acupuncturist 171100000X 401 MN

Addresses

Primary practice location

5001 American Blvd W
Suite 945
Bloomington, MN 55437-1162

Mailing address

5001 American Blvd W
Suite 945
Bloomington, MN 55437-1162
Phone (952) 835-6653

Other identifiers 2

IdentifierTypeStateIssuer
093827100MedicaidMN
093827100MedicaidWI

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

State licenses

LicenseStateTypeSpecialty
401MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Advacare Medical Clinic LTD Current Accepting new patients
Midwest Physical Therapy LLC Current Accepting new patients
Select Therapy, Inc. PastSince Aug 1, 2022 Accepting new patients

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1225179971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 AMERICAN BLVD W",
            "address_2": "SUITE 945",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371162",
            "telephone_number": "952-835-6653",
            "fax_number": "952-835-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 AMERICAN BLVD W",
            "address_2": "SUITE 945",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371162",
            "telephone_number": "952-835-6653",
            "fax_number": "952-835-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENSELINK",
        "first_name": "DENNIS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1815",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093827100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093827100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.