Individual provider Active NPI

Joseph Biernat III, D.C

  • Chiropractor
  • Maplewood, MN
National Provider Identifier
1669548798
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3632 Issued in MN
Practice address
2785 White Bear Ave N
Suite 108
Maplewood, MN 55109-1307
Phone
(651) 415-0418
Fax
(651) 415-0106
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3632 MN Primary

Addresses

Primary practice location

2785 White Bear Ave N
Suite 108
Maplewood, MN 55109-1307

Mailing address

2785 White Bear Ave N
Suite 108
Maplewood, MN 55109-1307
Phone (651) 415-0418

Other identifiers 1

IdentifierTypeStateIssuer
00D05SPOtherMNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1669548798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N",
            "address_2": "SUITE 108",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091307",
            "telephone_number": "651-415-0418",
            "fax_number": "651-415-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N",
            "address_2": "SUITE 108",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091307",
            "telephone_number": "651-415-0418",
            "fax_number": "651-415-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERNAT",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00D05SP",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.