Individual provider Active NPI

Daniel Mathew Pietruszewski

  • Chiropractor
  • Inver Grove Heights, MN
National Provider Identifier
1487401212
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7224 Issued in MN
Practice address
7781 Amana TRL
Inver Grove Heights, MN 55077-2617
Phone
(651) 280-8685
NPI assigned
Apr 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7224 MN Primary

Addresses

Primary practice location

7781 Amana TRL
Inver Grove Heights, MN 55077-2617

Mailing address

7781 Amana TRL # 300
Inver Grove Heights, MN 55077-2617
Phone (651) 237-3799

Other names 1

  • Dr. Daniel Mathew Pietruszewski Professional name

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
7224MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Health PLLC Chiropractor CurrentSince Mar 4, 2025 Accepting new patients

Locations

7781 Amana Trl
Ste 300
Inver Grove Heights, MN 55077
Phone (651) 237-3799

7781 Amana Trl
Unit 300
Inver Grove Heights, MN 55077

7781 Amana Trl
#300
Inver Grove Heights, MN 55077

7781 Amana Trl
Inver Grove Heights, MN 55077
Phone (612) 816-7739

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1487401212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7781 AMANA TRL # 300",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550772617",
            "telephone_number": "651-237-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7781 AMANA TRL",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550772617",
            "telephone_number": "651-280-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRUSZEWSKI",
        "first_name": "DANIEL",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "PIETRUSZEWSKI",
            "middle_name": "MATHEW",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Inver Grove Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.