Individual provider Active NPI

Joseph Alan Bertsch, DC

  • Chiropractor
  • Champlin, MN
National Provider Identifier
1295731503
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2767 Issued in MN
Practice address
12217 Champlin Dr
Champlin, MN 55316-1930
Phone
(763) 323-1492
Fax
(763) 422-1657
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2767 MN Primary

Addresses

Primary practice location

12217 Champlin Dr
Champlin, MN 55316-1930

Mailing address

12217 Champlin Dr
Champlin, MN 55316-1930
Phone (763) 323-1492

Other identifiers 1

IdentifierTypeStateIssuer
174328700MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910001015 MN Practitioner - Chiropractic 5890709596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Health Care Clinic PCGroup PAC ID 4183638885, 7 clinicians

Practice addresses (Care Compare)

12217 Champlin Dr
Champlin, MN 55316-1930
Phone (763) 323-1492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Team Health Care Clinic PC Chiropractor CurrentSince Sep 1, 1990 Accepting new patients

Locations

12217 Champlin Dr
Champlin, MN 55316
Phone (763) 323-1492

Interoperability endpoints

  • Direct secure messaging: josephbertsch@thccp-mn.direct.office.nextgen.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1295731503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12217 CHAMPLIN DR",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553161930",
            "telephone_number": "763-323-1492",
            "fax_number": "763-422-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12217 CHAMPLIN DR",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553161930",
            "telephone_number": "763-323-1492",
            "fax_number": "763-422-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTSCH",
        "first_name": "JOSEPH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174328700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Champlin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.