Individual provider Active NPI

Dominique Giesen, DC

  • Chiropractor
  • St Louis Park, MN
National Provider Identifier
1538757604
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6796 Issued in MN
Practice address
1660 Highway 100 S Ste 146
St Louis Park, MN 55416-1562
Phone
(952) 500-8477
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 6796 MN Primary

Addresses

Primary practice location

1660 Highway 100 S Ste 146
St Louis Park, MN 55416-1562

Mailing address

15 E Franklin Ave Apt 320
Minneapolis, MN 55404-4481
Phone (701) 471-6774

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address office@westendchiromn.com Direct West End Chiropractic and Wellness PA
Direct Messaging Address office@westendchiromn.com Direct West End Chiropractic and Wellness PA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230413001682 MN Practitioner - Chiropractic 3779958392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Chiropractic and Wellness Chiropractor CurrentSince Dec 21, 2022 Accepting new patients
West End Chiropractic and Wellness PA Chiropractor CurrentSince Jan 10, 2021 Accepting new patients
Marty-McDonald Health Services, P.a. Chiropractor CurrentSince Dec 21, 2022 Accepting new patients

Locations

2424 E 117th St
Burnsville, MN 55337
Phone (952) 210-4921

1660 Highway 100 S
Ste 146
St Louis Park, MN 55416
Phone (952) 500-8477

Organizations & group practices 3

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1538757604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E FRANKLIN AVE APT 320",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044481",
            "telephone_number": "701-471-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S STE 146",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161562",
            "telephone_number": "952-500-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESEN",
        "first_name": "DOMINIQUE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@westendchiromn.com",
            "affiliation": "Y",
            "endpointDescription": "Office email",
            "affiliationName": "West End Chiropractic and Wellness PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1660 Highway 100 S Ste 146",
            "city": "St Louis Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554161562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@westendchiromn.com",
            "affiliation": "Y",
            "endpointDescription": "Office Email",
            "affiliationName": "West End Chiropractic and Wellness PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1660 Highway 100 S Ste 146",
            "city": "St Louis Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554161562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.