Individual provider Active NPI

Rebecca Adamek Peckels, D.C.

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1699860320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4104 Issued in MN
Practice address
5000 W 36TH St Ste 120
Minneapolis, MN 55416-2758
Phone
(612) 922-8100
NPI assigned
Oct 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4104 MN Primary

Addresses

Primary practice location

5000 W 36TH St Ste 120
Minneapolis, MN 55416-2758

Mailing address

5000 W 36TH St Ste 120
Minneapolis, MN 55416-2758
Phone (612) 922-8100

Other identifiers 4

IdentifierTypeStateIssuer
1833842OtherMNARAZ
53D96ADOtherMNBCBS
75250OtherMNHEALTHPARTNERS
4487340OtherMNMEDICA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505001252 MN Practitioner - Chiropractic 2769470871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Lake Pointe Chiropractic CentreGroup PAC ID 2163410275, 3 clinicians

Practice addresses (Care Compare)

5000 W 36TH St
Suite 120
Minneapolis, MN 55416-2775
Phone (612) 922-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4104MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Pointe Chiropractic Centre Chiropractor CurrentSince Apr 1, 2004 Accepting new patients

Locations

5000 W 36th St
Ste 120
St Louis Park, MN 55416
Phone (612) 922-8100

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699860320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W 36TH ST STE 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162758",
            "telephone_number": "612-922-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W 36TH ST STE 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162758",
            "telephone_number": "612-922-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMEK PECKELS",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ",
            "identifier": "1833842",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53D96AD",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "75250",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "4487340",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.