Organization Active NPI

Jane E Vanroekel

  • Pediatrics Physician
  • Inver Grove Heights, MN
National Provider Identifier
1700948536
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21669 Issued in MN
Legal business name
JANE E VANROEKEL
Practice address
5975 Carmen Ave
Inver Grove Heights, MN 55076-4416
Phone
(651) 455-9697
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jane E Vanroekel, MD
Title
Owner-Medical Director
Phone
(651) 455-9697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 21669 MN Primary

Addresses

Primary practice location

5975 Carmen Ave
Inver Grove Heights, MN 55076-4416

Mailing address

1399 Felix St
Saint Paul, MN 55118-3207
Phone (651) 457-0987

Other names 1

  • Dakota Pediatric Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700948536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 FELIX ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551183207",
            "telephone_number": "651-457-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 CARMEN AVE",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550764416",
            "telephone_number": "651-455-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE E VANROEKEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANROEKEL",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER-MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "651-455-9697",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "21669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakota Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inver Grove Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.