Individual provider Active NPI

Jessica Rae Muench, DC

  • Chiropractor
  • Minnetonka, MN
National Provider Identifier
1639932916
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7186 Issued in MN
Practice address
12455 Ridgedale Dr Ste 203
Minnetonka, MN 55305-1786
Phone
(952) 314-7035
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7186 MN Primary

Addresses

Primary practice location

12455 Ridgedale Dr Ste 203
Minnetonka, MN 55305-1786

Mailing address

724 N 1St St Apt 4
Minneapolis, MN 55401-7556
Phone (204) 232-0876

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240224000556 MN Practitioner - Chiropractic 0244675726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunu Chiropractic, Inc.Group PAC ID 0547439168, 5 clinicians

Practice addresses (Care Compare)

12455 Ridgedale Dr
Suite 203
Minnetonka, MN 55305-1786
Phone (952) 314-7035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7186MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunu Chiropractic, Inc. Chiropractor CurrentSince Feb 1, 2024 Accepting new patients

Locations

12455 Ridgedale Dr
Ste 203
Minnetonka, MN 55305
Phone (952) 314-7035

12455 Ridgedale Dr
#203
Minnetonka, MN 55305
Phone (952) 314-7035

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1639932916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 N 1ST ST APT 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554017556",
            "telephone_number": "204-232-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 RIDGEDALE DR STE 203",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051786",
            "telephone_number": "952-314-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUENCH",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.