Individual provider Active NPI

Scott William Poeschel, DC

  • Chiropractor
  • Woodbury, MN
National Provider Identifier
1679698138
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3949 Issued in MN
Practice address
1818 Wooddale Dr Ste 100
Woodbury, MN 55125-2983
Phone
(651) 756-7380
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4261-012 WI
Chiropractor 111N00000X 3949 MN Primary

Addresses

Primary practice location

1818 Wooddale Dr Ste 100
Woodbury, MN 55125-2983

Mailing address

1818 Wooddale Dr Ste 100
Woodbury, MN 55125-2983
Phone (651) 756-7380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141021001272 MN Practitioner - Chiropractic 5597986331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1818 Wooddale Dr
Suite 100
Woodbury, MN 55125-2983
Phone (651) 756-7380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3949MNMDMarriage & Family Therapist
4261-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Poeschel Chiropractic PSC Chiropractor CurrentSince Jul 18, 2014 Accepting new patients
Toth Chiropractic PA Chiropractor Past Accepting new patients

Locations

1818 Wooddale Dr
Ste 100
Woodbury, MN 55125
Phone (651) 756-7380

Organizations & group practices 2

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1679698138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 WOODDALE DR STE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252983",
            "telephone_number": "651-756-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 WOODDALE DR STE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252983",
            "telephone_number": "651-756-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POESCHEL",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4261-012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.