Genesis Disc Institute

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

3581 Issued in MN

Legal business name

GENESIS DISC INSTITUTE

Practice address

8425 Seasons Pkwy Ste 104B
Woodbury, MN 55125-5403

Phone

(651) 702-7800

Fax

(651) 702-7804

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Mark Pietsch, DCNPI 1336239466

Title

Owner

Phone

(651) 702-7800

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Mark Pietsch, DC

  • Chiropractor
  • Woodbury, MN
  • NPI 1336239466
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427135045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 SEASONS PKWY STE 104B",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551255403",
            "telephone_number": "651-702-7800",
            "fax_number": "651-702-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 SEASONS PKWY STE 104B",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551255403",
            "telephone_number": "651-702-7800",
            "fax_number": "651-702-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS DISC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIETSCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-702-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MN",
            "license": "3581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hani Geele
• Jeffrey Geiger, PT, DPT
• Patricia Kay Geisen, FNP-C
• Linda A Gellerman, CNM
• Kristin Gendron, M.D.
• Genoa Healthcare LLC
• Elizabeth George, MD
• James E. George, M.D.
• Kayla M Gerasimou, DPT
• Andrea M.T. Gerber, RN, CNP

• Exclusive Provider Organization in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Exclusive Provider Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.