John William Pepelnjak III, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4561 Issued in MN

Practice address

1522 E Superior St
Duluth, MN 55812-1634

Phone

(218) 724-4077

Fax

(218) 724-3045

NPI assigned

May 21, 2007

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 4

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• John W. Pepelnjak Chiropractic Clinic, Inc.

  • Chiropractor
  • Two Harbors, MN
  • NPI 1578732319
  Medicare reassignment Authorized official
• Accend Services Incorporated

  • Adult Mental Health Clinic/Center
  • Duluth, MN
  • NPI 1417023458
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659580165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 E SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121634",
            "telephone_number": "218-724-4077",
            "fax_number": "218-724-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 E SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121634",
            "telephone_number": "218-724-4077",
            "fax_number": "218-724-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPELNJAK",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38959800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN TIN",
            "identifier": "7640075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TWO HARBORS BCBS",
            "identifier": "338L6PE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DULUTH BCBS",
            "identifier": "443L0PE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole L Pederson, M.S.,C.G.C
• Lyn Clark Pegg, EDD, MS, LP
• Heidy L. Peloquin, CCC-SLP
• Ahna L Pelto, LICSW
• Matthew Grant Penning, M.D.
• Brandon S Percival, APRN,CRNA
• Peregrine Psychotherapy
• Kenrea Johanne Perell, PHARMD
• Anna V Perelshteyn, M.D.
• Gina Perfetti, LPCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.