Individual provider Active NPI

Joel David Buys, DC

  • Chiropractor
  • Lino Lakes, MN
National Provider Identifier
1710089156
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2078 Issued in MN
Practice address
7661 Lake Dr
Lino Lakes, MN 55014
Phone
(651) 784-4423
Fax
(651) 784-7737
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 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 2078 MN Primary

Addresses

Primary practice location

7661 Lake Dr
Lino Lakes, MN 55014

Mailing address

7661 Lake Dr
Lino Lakes, MN 55014
Phone (651) 784-4423

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000309 MN Practitioner - Chiropractic 1355467275

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7661 Lake Dr
Lino Lakes, MN 55014-1108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2078MNMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1710089156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7661 LAKE DR",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "55014",
            "telephone_number": "651-784-4423",
            "fax_number": "651-784-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7661 LAKE DR",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "55014",
            "telephone_number": "651-784-4423",
            "fax_number": "651-784-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUYS",
        "first_name": "JOEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lino Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.