Jon Frederic Theurer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1216 Issued in MN

Practice address

323 6TH St NE
Staples, MN 56479-2355

Phone

(218) 894-1737

Fax

(218) 894-1737

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619087483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 6TH ST NE",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564792355",
            "telephone_number": "218-894-1737",
            "fax_number": "218-894-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 6TH ST NE",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564792355",
            "telephone_number": "218-894-1737",
            "fax_number": "218-894-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEURER",
        "first_name": "JON",
        "middle_name": "FREDERIC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85269TH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Staples Eye Clinic PSC
• Staples Smiles
• Wade T Swenson II, MD
• Kelly Rose Taffe, SLP
• Debra Tastad, RN,CNS
• Chad G Thiel, MD
• Kelly Ann Thompson
• Sean R Tingum, PHARMD
• Carol L Uhlman, MD
• Stacy Underhill, PA-C

• Chiropractor in Staples, MN
• Providers in Staples, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.