Active NPI
Constance Lynn Jacoby, D.C.
- Chiropractor
- Duluth, MN
National Provider Identifier
1487891008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3764
- Practice address
- 205 W 2ND St Ste 300
Duluth, MN 55802-1928 - Phone
- (218) 940-4342
- NPI assigned
- Jan 20, 2009
- Last updated
- Nov 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3764 | MN | Primary |
Addresses
Primary practice location
205 W 2ND St Ste 300
Duluth, MN 55802-1928
Mailing address
205 W 2ND St Ste 300
Duluth, MN 55802-1928
Phone (218) 940-4342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
205 W 2ND St
Suite 300
Duluth, MN 55802-1928
Phone (218) 940-4342
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacoby Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
205 W 2nd St
Ste 300
Duluth, MN 55802
Phone (218) 206-8512
32 E 1st St
Ste 330
Duluth, MN 55802
Phone (218) 940-4342
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": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1487891008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W 2ND ST STE 300",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021928",
"telephone_number": "218-940-4342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W 2ND ST STE 300",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021928",
"telephone_number": "218-940-4342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBY",
"first_name": "CONSTANCE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.