Organization Active NPI

Junge Family Chiropractic, PLLC

  • Chiropractor
  • Rochester, MN
National Provider Identifier
1710293832
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5366 Issued in MN
Legal business name
JUNGE FAMILY CHIROPRACTIC, PLLC
Practice address
4164 18TH Ave NW
Rochester, MN 55901-0474
Phone
(507) 208-4481
Fax
(507) 208-4482
NPI assigned
Aug 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Dr. Scott Thomas Junge, D.C.NPI 1043523046
Title
Member
Phone
(507) 208-4481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5366 MN Primary

Addresses

Primary practice location

4164 18TH Ave NW
Rochester, MN 55901-0474

Mailing address

4164 18TH Ave NW
Rochester, MN 55901-0474
Phone (507) 208-4481

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101011001189 MN Part B Supplier - Clinic/Group Practice 7416149232 Receives reassigned benefits from 2 practitioners
Practice locations: Rochester, MN

National Provider Directory

National Provider Directory

Locations

4164 18th Ave NW
Rochester, MN 55901
Phone (507) 208-4481

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1710293832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4164 18TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010474",
            "telephone_number": "507-208-4481",
            "fax_number": "507-208-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 18TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010474",
            "telephone_number": "507-208-4481",
            "fax_number": "507-208-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNGE FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "JUNGE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "507-208-4481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.