Individual provider Active NPI

Jonathan Michael Toftoy, D.C.

  • Chiropractor
  • Eden Prairie, MN
National Provider Identifier
1558669739
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5505 Issued in MN
Practice address
8079 Timber Lake Dr
Eden Prairie, MN 55347-1140
Phone
(815) 695-5416
NPI assigned
Mar 11, 2011
Last updated
Mar 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5505 MN Primary

Addresses

Primary practice location

8079 Timber Lake Dr
Eden Prairie, MN 55347-1140

Mailing address

8079 Timber Lake Dr
Eden Prairie, MN 55347-1140
Phone (815) 695-5416

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201230000030 MN Practitioner - Chiropractic 3375956873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Valeo Health and Wellness Center PLLCGroup PAC ID 1658669379, 3 clinicians

Practice addresses (Care Compare)

11010 Prairie Lakes Dr
Suite 165
Eden Prairie, MN 55344-3802
Phone (952) 949-0676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5505MNMDChiropractor

Organizations & group practices 1

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": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1558669739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8079 TIMBER LAKE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471140",
            "telephone_number": "815-695-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8079 TIMBER LAKE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471140",
            "telephone_number": "815-695-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOFTOY",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.