Individual provider Active NPI

Jeremy Wellington Lachinski, D.C.

  • Chiropractor
  • Brooklyn Park, MN
National Provider Identifier
1548375546
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4340 Issued in MN
Practice address
9580 Noble Pkwy N
Brooklyn Park, MN 55443-1416
Phone
(763) 561-6020
Fax
(763) 561-2651
NPI assigned
Aug 20, 2006
Last updated
Feb 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4340 MN Primary

Addresses

Primary practice location

9580 Noble Pkwy N
Brooklyn Park, MN 55443-1416

Mailing address

9580 Noble Pkwy N
Brooklyn Park, MN 55443-1416
Phone (763) 561-6020

Other identifiers 1

IdentifierTypeStateIssuer
4340OtherMNLICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040205000701 MN Practitioner - Chiropractic 2769375492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9580 Noble Pkwy N
Brooklyn Park, MN 55443-1703
Phone (763) 561-6020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Globa Chiropractic, P.a. Chiropractor CurrentSince Feb 15, 2013 Accepting new patients
Lachinski Chiropractic, P.a. Chiropractor CurrentSince Jan 4, 2008 Accepting new patients
Feller Chiropractic Chiropractor Past Accepting new patients

Locations

1404 85th Ave N
Brooklyn Park, MN 55444
Phone (763) 561-6020

9580 Noble Pkwy N
Minneapolis, MN 55443
Phone (763) 438-0159

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, 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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1548375546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9580 NOBLE PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431416",
            "telephone_number": "763-561-6020",
            "fax_number": "763-561-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9580 NOBLE PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431416",
            "telephone_number": "763-561-6020",
            "fax_number": "763-561-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHINSKI",
        "first_name": "JEREMY",
        "middle_name": "WELLINGTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "4340",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.