Jonathan James Taffe, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4900 Issued in MN

Practice address

14501 Granada Dr
Suite 101
Apple Valley, MN 55124-6315

Phone

(952) 431-3003

Fax

(952) 431-3016

NPI assigned

Jan 24, 2007

Last updated

Dec 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Apple Valley Chiropractic & Rehab

  • Chiropractor
  • Apple Valley, MN
  • NPI 1033535893
  Medicare reassignment NPD Authorized official
• Apple Valley Chiropractic & Rehab

  • Chiropractor
  • Apple Valley, MN
  • NPI 1528108883
  Authorized official Same address or phone
• Jonathan Taffe

  dba Apple Valley Chiropractic & Rehab

  • Chiropractor
  • Apple Valley, MN
  • NPI 1821326257
  Authorized official Same address or phone
• Advanced Chiropractic Health PA

  • Chiropractor
  • Plymouth, MN
  • NPI 1568679264
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1699820399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7802 172ND W ST",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449569",
            "telephone_number": "952-431-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 GRANADA DR",
            "address_2": "SUITE 101",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246315",
            "telephone_number": "952-431-3003",
            "fax_number": "952-431-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFFE",
        "first_name": "JONATHAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21913000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.