Individual provider Active NPI

Joseph E Sutcliffe, D.C.

  • Chiropractor
  • Chaska, MN
National Provider Identifier
1700907672
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003482 Issued in MN
Practice address
424 N Chestnut St
Chaska, MN 55318-2091
Phone
(952) 448-4222
Fax
(952) 448-5393
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 003482 MN Primary

Addresses

Primary practice location

424 N Chestnut St
Chaska, MN 55318-2091

Mailing address

424 N Chestnut St
Chaska, MN 55318-2091
Phone (952) 448-4222

Other identifiers 3

IdentifierTypeStateIssuer
339K6SUOtherMNBCBS OF MN INDIVIDUAL
338K9SUOtherMNBCBS OF MN GROUP
606419OtherMNACN CHIRO CARE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000191 MN Practitioner - Chiropractic 2567410921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abundant Life Chiropractic Health Center PAGroup PAC ID 3577882042, 3 clinicians

Practice addresses (Care Compare)

7945 Stone Creek Dr
Suite 120
Chanhassen, MN 55317-4606
Phone (952) 300-8338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003482MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Life Chiropractic Health Center PA CurrentSince Sep 13, 2024 Accepting new patients
Piff Holdings, P.C. Chiropractor CurrentSince Jun 6, 2023 Accepting new patients
Motion Is Life Chiropractic Chiropractor PastSince Oct 17, 2005 Accepting new patients

Locations

13955 W Preserve Blvd
Ste 200
Burnsville, MN 55337
Phone (952) 890-0804

7945 Stone Creek Dr
Ste 120
Chanhassen, MN 55317
Phone (952) 300-8338

Organizations & group practices 3

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1700907672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N CHESTNUT ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182091",
            "telephone_number": "952-448-4222",
            "fax_number": "952-448-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N CHESTNUT ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182091",
            "telephone_number": "952-448-4222",
            "fax_number": "952-448-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTCLIFFE",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN INDIVIDUAL",
            "identifier": "339K6SU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN GROUP",
            "identifier": "338K9SU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN CHIRO CARE NUMBER",
            "identifier": "606419",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.