Individual provider Active NPI

Cydney Jean, DC

  • Chiropractor
  • Maple Grove, MN
National Provider Identifier
1720671084
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6805 Issued in MN
Practice address
7373 Kirkwood CT N Ste 110
Maple Grove, MN 55369-5211
Phone
(763) 898-3517
NPI assigned
Feb 18, 2021
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6805 MN Primary

Addresses

Primary practice location

7373 Kirkwood CT N Ste 110
Maple Grove, MN 55369-5211

Mailing address

7373 Kirkwood CT N Ste 110
Maple Grove, MN 55369-5211
Phone (763) 898-3517

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220105001970 MN Practitioner - Chiropractic 6002207875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Movement Chiropractic and Wellness PLLCGroup PAC ID 6103217971, 3 clinicians

Practice addresses (Care Compare)

7373 Kirkwood CT N
Suite 110
Maple Grove, MN 55369-5211
Phone (763) 898-3517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Chiropractic & Wellness, PLLC Chiropractor CurrentSince Sep 1, 2021 Accepting new patients

Locations

7373 Kirkwood Ct N
Ste 110
Maple Grove, MN 55369
Phone (763) 898-3517

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1720671084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 KIRKWOOD CT N STE 110",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695211",
            "telephone_number": "763-898-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 KIRKWOOD CT N STE 110",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695211",
            "telephone_number": "763-898-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "CYDNEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.