Individual provider Active NPI

Caitlyn Jungels, LAT, DC

  • Chiropractor
  • Waite Park, MN
National Provider Identifier
1447641329
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6773 Issued in MN
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6773MNMDChiropractor
2751MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey M Mies DC Inc Chiropractor CurrentSince Dec 1, 2020 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.

Verify at the official NPI Registry.