Individual provider Active NPI

Reed James Yehle, DC

  • Chiropractor
  • Woodbury, MN
National Provider Identifier
1497410831
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6903 Issued in MN
Practice address
675 Commons Dr
Woodbury, MN 55125-8880
Phone
(651) 501-5459
NPI assigned
Nov 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 6903 MN Primary

Addresses

Primary practice location

675 Commons Dr
Woodbury, MN 55125-8880

Mailing address

3795 Smithfield Curv
Woodbury, MN 55129-4910
Phone (651) 387-9357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211213001603 MN Practitioner - Chiropractic 8921498619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Clinic, P.a.Group PAC ID 5799934857, 19 clinicians

Practice addresses (Care Compare)

675 Commons Dr
Woodbury, MN 55125-8880
Phone (651) 501-5459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6903MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Clinic, P.a. CurrentSince Nov 1, 2021 Accepting new patients
Lifeclinic PA PastSince Nov 1, 2021 Accepting new patients

Locations

33 Hamline Ave S
Saint Paul, MN 55105
Phone (612) 868-6894

675 Commons Dr
Woodbury, MN 55125
Phone (651) 501-5459

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1497410831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 SMITHFIELD CURV",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551294910",
            "telephone_number": "651-387-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 COMMONS DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551258880",
            "telephone_number": "651-501-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEHLE",
        "first_name": "REED",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6903",
            "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 Nov 1, 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.