Individual provider Active NPI

Emily Rose Quast

  • Chiropractor
  • Apple Valley, MN
National Provider Identifier
1245976802
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6979 Issued in MN
Practice address
7292 Upper 136TH St W
Apple Valley, MN 55124-7632
Phone
(612) 708-1648
NPI assigned
May 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 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 6979 MN Primary

Addresses

Primary practice location

7292 Upper 136TH St W
Apple Valley, MN 55124-7632

Mailing address

7292 Upper 136TH St W
Apple Valley, MN 55124-7632
Phone (612) 708-1648

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921002816 MN Practitioner - Chiropractic 8426433814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

403 W Burnsville Pkwy
Burnsville, MN 55337-2569
Phone (952) 895-4085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6979MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pura Vida Chiropractic & Wellness, P.a. CurrentSince Sep 1, 2022 Accepting new patients
Sailer Chiropractic Center Chiropractor CurrentSince Sep 1, 2022 Accepting new patients

Locations

403 W Burnsville Pkwy
Burnsville, MN 55337
Phone (952) 895-4085

Organizations & group practices 2

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": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1245976802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7292 UPPER 136TH ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247632",
            "telephone_number": "612-708-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7292 UPPER 136TH ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247632",
            "telephone_number": "612-708-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAST",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

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