Active NPI
Jennifer M Sweeney, D.C.
- Chiropractor
- Maple Grove, MN
National Provider Identifier
1306175112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5285
- Practice address
- 11031 Territorial TRL
Maple Grove, MN 55369-2870 - Phone
- (763) 772-6553
- NPI assigned
- Dec 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5285 | MN | Primary |
Addresses
Primary practice location
11031 Territorial TRL
Maple Grove, MN 55369-2870
Mailing address
9479 Garland Lane N.
Maple Grove, MN 55311-5480
Phone (763) 494-8787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5285 | MN | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1306175112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9479 GARLAND LANE N.",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553115480",
"telephone_number": "763-494-8787",
"fax_number": "763-494-8841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11031 TERRITORIAL TRL",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553692870",
"telephone_number": "763-772-6553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-08",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.