Organization Active NPI

Poeschel Chiropractic PSC

  • Chiropractor
  • Woodbury, MN
National Provider Identifier
1457470445
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3949 Issued in MN
Legal business name
POESCHEL CHIROPRACTIC PSC
Practice address
1818 Wooddale Dr
Ste #100
Woodbury, MN 55125-2983
Phone
(651) 756-7380
Fax
(651) 340-9765
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Dr. Scott William Poeschel, D.C.NPI 1679698138
Title
President
Phone
(651) 756-7380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3949 MN Primary

Addresses

Primary practice location

1818 Wooddale Dr
Ste #100
Woodbury, MN 55125-2983

Mailing address

1818 Wooddale Dr
Ste #100
Woodbury, MN 55125-2983
Phone (651) 756-7380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141021001045 MN Part B Supplier - Clinic/Group Practice 8426279258 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbury, MN

National Provider Directory

National Provider Directory

Locations

1818 Wooddale Dr
Ste 100
Woodbury, MN 55125
Phone (651) 756-7380

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1457470445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 WOODDALE DR",
            "address_2": "STE #100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252983",
            "telephone_number": "651-756-7380",
            "fax_number": "651-340-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 WOODDALE DR",
            "address_2": "STE #100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252983",
            "telephone_number": "651-756-7380",
            "fax_number": "651-340-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POESCHEL CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "POESCHEL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-756-7380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.