Individual provider Active NPI

Jenna Mahs, D.C.

  • Chiropractor
  • Bemidji, MN
National Provider Identifier
1487920989
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5607 Issued in MN
Practice address
705 Washington Ave S
Bemidji, MN 56601-4838
Phone
(218) 444-2070
NPI assigned
Mar 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5607 MN Primary

Addresses

Primary practice location

705 Washington Ave S
Bemidji, MN 56601-4838

Mailing address

705 Washington Ave S
Bemidji, MN 56601-4838
Phone (218) 444-2070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120821001075 MN Practitioner - Chiropractic 0941457279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

705 Washington Ave S
Bemidji, MN 56601-4838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5607MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
JM Chiropractic LLC Chiropractor CurrentSince Sep 28, 2021 Accepting new patients
American Physicians of Chiropractic Science, LTD Chiropractor Past Accepting new patients

Locations

705 Washington Ave S
Bemidji, MN 56601
Phone (218) 444-2070

Organizations & group practices 2

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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1487920989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WASHINGTON AVE S",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014838",
            "telephone_number": "218-444-2070",
            "fax_number": "218-444-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WASHINGTON AVE S",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014838",
            "telephone_number": "218-444-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHS",
        "first_name": "JENNA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2021-09-22",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.

Verify at the official NPI Registry.