Active NPI
Jolene Otremba, D.C.
- Chiropractor
- New Prague, MN
National Provider Identifier
1508318023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6273
- Practice address
- 201 Main St E
New Prague, MN 56071-1832 - Phone
- (952) 758-5135
- Fax
- (952) 758-5179
- NPI assigned
- Nov 1, 2016
- 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 | 6273 | MN | Primary |
Addresses
Primary practice location
201 Main St E
New Prague, MN 56071-1832
Mailing address
201 Main St E
New Prague, MN 56071-1832
Phone (952) 758-5135
Other practice location 1
110 Division St E
Buffalo, MN 55313-1525
Phone (763) 682-1471
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
- Cleveland Chiropractic College - Kansas City, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Main St E
New Prague, MN 56071-1832
Phone (952) 758-5135
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reiner Chiropractic Clinic PA | Chiropractor | Current | Accepting new patients |
| Kuzma Chiropractic PA | Chiropractor | Past | Accepting new patients |
Locations
201 Main St E
New Prague, MN 56071
Phone (952) 758-5135
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.
-
- Chiropractor
- New Prague, MN
- NPI 1730302118
-
- Chiropractor
- Buffalo, MN
- NPI 1366623159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1508318023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 MAIN ST E",
"city": "NEW PRAGUE",
"state": "MN",
"postal_code": "560711832",
"telephone_number": "952-758-5135",
"fax_number": "952-758-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MAIN ST E",
"city": "NEW PRAGUE",
"state": "MN",
"postal_code": "560711832",
"telephone_number": "952-758-5135",
"fax_number": "952-758-5179"
}
],
"practiceLocations": [
{
"address_1": "110 Division St E",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "MN",
"postal_code": "553131525",
"country_code": "US",
"telephone_number": "763-682-1471",
"fax_number": "763-682-7030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTREMBA",
"first_name": "JOLENE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Prague, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.