Organization Active NPI

Janzen Chiropractic PA

  • Chiropractor
  • Duluth, MN
National Provider Identifier
1285831040
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4216 Issued in MN
Legal business name
JANZEN CHIROPRACTIC PA
Practice address
4731 E Superior St
Duluth, MN 55804
Phone
(218) 525-6060
Fax
(218) 525-6060
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Dr. Melissa Jane Janzen, DCNPI 1316011596
Title
Owner DC
Phone
(218) 525-6060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4216 MN Primary

Addresses

Primary practice location

4731 E Superior St
Duluth, MN 55804

Mailing address

4731 E Superior St
Duluth, MN 55804
Phone (218) 525-6060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050524000958 MN Part B Supplier - Clinic/Group Practice 5395787907 Receives reassigned benefits from 1 practitioner
Practice locations: Duluth, MN

National Provider Directory

National Provider Directory

Locations

4731 E Superior St
Duluth, MN 55804
Phone (218) 525-6060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1285831040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 E SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55804",
            "telephone_number": "218-525-6060",
            "fax_number": "218-525-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 E SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55804",
            "telephone_number": "218-525-6060",
            "fax_number": "218-525-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANZEN CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "JANZEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER DC",
        "authorized_official_telephone_number": "218-525-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.