Suppes Enterprises, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2069 Issued in MN

Legal business name

SUPPES ENTERPRISES, INC.

Practice address

5757 Sanibel Dr
Suite 11
Minnetonka, MN 55343-4110

Phone

(952) 939-0297

NPI assigned

Feb 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Janice A Suppes, D.C.

Title

President

Phone

(952) 939-0297

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Janice A Suppes, DC Doing business as

Locations

Practitioners 1

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

• Jason Macrae Jorgensen, DC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1225734684
  NPD (past)

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1457690703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 SANIBEL DR",
            "address_2": "SUITE 11",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553434110",
            "telephone_number": "952-939-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 SANIBEL DR",
            "address_2": "SUITE 11",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553434110",
            "telephone_number": "952-939-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPES ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "SUPPES",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-939-0297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "068027300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "350000228",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Janice A Suppes, DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan E Sundell, PH.D.,L.P
• Sundial Chiropractic P.L.L.C.
• Sunu Chiropractic, Inc.
• Katelin Super, APRN CNP
• Supervalu Pharmacies Inc
• Janice A Suppes, DC
• Tracy Sutton, FNP-C
• Swanson & Walman PA
• Swanson Family Dentristry PA
• James Timothy Swanson, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.