Joseph Wade Edlund PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2942 Issued in MN

Legal business name

JOSEPH WADE EDLUND PC

Doing business as

EDLUND CHIROPRACTIC

Practice address

140 Paul Bunyan Dr NW
Bemidji, MN 56601-2440

Phone

(218) 751-5910

Fax

(218) 444-5911

NPI assigned

Jul 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Wade Edlund, D.C.NPI 1275616245

Title

President

Phone

(218) 751-5910

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EDLUND CHIROPRACTIC Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Joseph Wade Edlund, D.C.

  • Chiropractor
  • Bemidji, MN
  • NPI 1275616245
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1417186750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PAUL BUNYAN DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012440",
            "telephone_number": "218-751-5910",
            "fax_number": "218-444-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PAUL BUNYAN DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012440",
            "telephone_number": "218-751-5910",
            "fax_number": "218-444-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH WADE EDLUND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "EDLUND",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-751-5910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460943200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "OBF43ED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDLUND CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Rose Jonckowski, FNP-BC
• Austin Scott Morris Jones, CH(R)C, CPHT
• Paula E Jones, RPH
• Sydney Terese Jones
• Tyra Larae Jones
• Tyler Junttila, MD
• Jamie Kaiser, RN
• Kayla N Kaiser, FNP-BC
• Dylan Shawn Kaisersatt, FNP-C
• Fred P Kalinoff, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.