Jeffrey Michael Lavell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3635 Issued in MN

Practice address

2785 White Bear Ave N
Suite 108
Maplewood, MN 55109-1307

Phone

(651) 415-0418

Fax

(651) 415-0106

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specific Health and Chiropractic PLLCGroup PAC ID 1759615297, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Specific Health & Chiropractic PLLC

  • Chiropractor
  • Maplewood, MN
  • NPI 1275192197
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1285700229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N",
            "address_2": "SUITE 108",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091307",
            "telephone_number": "651-415-0418",
            "fax_number": "651-415-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N",
            "address_2": "SUITE 108",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091307",
            "telephone_number": "651-415-0418",
            "fax_number": "651-415-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVELL",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00D05SP",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leann Patrice Larson, RD
• Michelle A Larson, RD
• Travis Larson, PHARMD
• Lashia Elderly Care Center
• Gregory Scott Latus, DDS
• Camille S. Lawless
• Robert Matthew Lawlor, LICSW, LADC
• Evan Lawson
• Megan Grace Lawton, D.P.M., M.S.
• Molly Margaret Layer, B.S.

• Chiropractor in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.