Individual provider Active NPI

Joel Jeffrey Vlaminck, D.C.

  • Chiropractor
  • Anoka, MN
National Provider Identifier
1255562500
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5203 Issued in MN
Practice address
600 E Main St
Anoka, MN 55303-2527
Phone
(763) 421-3722
Fax
(763) 421-1476
NPI assigned
Aug 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5203 MN Primary

Addresses

Primary practice location

600 E Main St
Anoka, MN 55303-2527

Mailing address

600 E Main St
Anoka, MN 55303-2527
Phone (763) 421-3722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090924000100 MN Practitioner - Chiropractic 7113073644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abeler Chiropractic Clinic PAGroup PAC ID 0143129403, 4 clinicians

Practice addresses (Care Compare)

600 E Main St
Anoka, MN 55303-2527
Phone (763) 421-3722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5203MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Abeler Chiropractic Clinic, PA Chiropractor CurrentSince May 17, 2010 Accepting new patients

Locations

600 E Main St
Anoka, MN 55303
Phone (612) 421-3722

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1255562500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E MAIN ST",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032527",
            "telephone_number": "763-421-3722",
            "fax_number": "763-421-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MAIN ST",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032527",
            "telephone_number": "763-421-3722",
            "fax_number": "763-421-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLAMINCK",
        "first_name": "JOEL",
        "middle_name": "JEFFREY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-04",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anoka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.