Jude Kobla Gbeddie, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4794 Issued in MN

Practice address

1821 University Ave Suite # S-106
Universal Chiropractic Health Clinic,
St Paul, MN 55104

Phone

(651) 647-9100

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366570467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7627 PONDS EDGE PATH",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553784704",
            "telephone_number": "612-483-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE SUITE # S-106",
            "address_2": "UNIVERSAL CHIROPRACTIC HEALTH CLINIC,",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-647-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBEDDIE",
        "first_name": "JUDE",
        "middle_name": "KOBLA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Rachelle Gause, PSY.D.
• Angela Nichol Gauthier, LAMFT
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• Erin M Gazich, DNP, FNP-C
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• Anna K Gebert
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• Roger L Gebhard, MD
• Yohannes Gebre, M.D.
• Tirhas Gebremariam

• Chiropractor in St Paul, MN
• Providers in St Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.