Active NPI
Caitlyn Jungels, LAT, DC
- Chiropractor
- Waite Park, MN
National Provider Identifier
1447641329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6773
- Practice address
- 436 Great Oak Dr
Waite Park, MN 56387-2505 - Phone
- (132) 043-7171
- Fax
- (320) 278-8223
- NPI assigned
- Feb 12, 2015
- Last updated
- Dec 28, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6773 | MN | Primary |
| Athletic Trainer | 2255A2300X | NU | ||
| Athletic Trainer | 2255A2300X | 2751 | MN |
Addresses
Primary practice location
436 Great Oak Dr
Waite Park, MN 56387-2505
Mailing address
1916 Cypress Cir
Sartell, MN 56377-1683
Phone (218) 340-9158
Other practice location 1
1916 Cypress Cir
Sartell, MN 56377-1683
Phone (218) 340-9158
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 |
|---|---|---|---|
| 6773 | MN | MD | Chiropractor |
| 2751 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey M Mies DC Inc | Chiropractor | Current | Accepting new patients |
Locations
310 3rd St NE
Waite Park, MN 56387
Phone (320) 281-5243
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1447641329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 CYPRESS CIR",
"city": "SARTELL",
"state": "MN",
"postal_code": "563771683",
"telephone_number": "218-340-9158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 GREAT OAK DR",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563872505",
"telephone_number": "132-043-7171",
"fax_number": "320-278-8223"
}
],
"practiceLocations": [
{
"address_1": "1916 Cypress Cir",
"address_purpose": "LOCATION",
"city": "Sartell",
"state": "MN",
"postal_code": "563771683",
"country_code": "US",
"telephone_number": "218-340-9158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUNGELS",
"first_name": "CAITLYN",
"credential": "LAT, DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-12",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6773",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2751",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.