Individual provider Active NPI

Jonathan Barret Herbert, D.C.

  • Chiropractor
  • Cloquet, MN
National Provider Identifier
1669641528
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5484 Issued in MN
Practice address
1111 Cloquet Ave Ste 7
Cloquet, MN 55720-1659
Phone
(218) 499-8596
Fax
(218) 206-8345
NPI assigned
Feb 25, 2008
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5484 MN Primary

Addresses

Primary practice location

1111 Cloquet Ave Ste 7
Cloquet, MN 55720-1659

Mailing address

1111 Cloquet Ave Ste 7
Cloquet, MN 55720-1659
Phone (218) 499-8596

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000850 MN Practitioner - Chiropractic 2062698863 Practice locations: Hermantown, MN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Chiropractic and Kinesiology LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

1111 Cloquet Ave
Ste 7
Cloquet, MN 55720
Phone (218) 499-8596

4897 Miller Trunk Hwy
Ste 228
Hermantown, MN 55811
Phone (218) 451-8337

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": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1669641528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CLOQUET AVE STE 7",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201659",
            "telephone_number": "218-499-8596",
            "fax_number": "218-206-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CLOQUET AVE STE 7",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201659",
            "telephone_number": "218-499-8596",
            "fax_number": "218-206-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "JONATHAN",
        "middle_name": "BARRET",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.