Jeremiah Staples, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4061 Issued in MN

Practice address

23505 Smithtown Rd
Suite 100
Excelsior, MN 55331-4541

Phone

(952) 470-8555

Fax

(952) 401-8785

NPI assigned

Feb 28, 2007

Last updated

Aug 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Leduc Chiropractic PLLC

  dba Delano Chiropractic

  • Chiropractor
  • Delano, MN
  • NPI 1740791219
  NPD
• Big Lake Spine & Sport, PA

  dba Great River Spine & Sport

  • Chiropractor
  • Monticello, MN
  • NPI 1295747889
  NPD (past)
• Integrated Care Clinics, PA

  dba Great River Spine & Sport

  • Physical Therapist
  • Monticello, MN
  • NPI 1396775110
  NPD (past)
• Knewtson Family Chiropractic PA

  • Chiropractor
  • Excelsior, MN
  • NPI 1477589109
  NPD (past)
• Nesseth Chiropractic Clinic PA

  • Chiropractor
  • Cokato, MN
  • NPI 1619008067
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1730217183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23505 SMITHTOWN RD",
            "address_2": "SUITE 100",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553314541",
            "telephone_number": "952-470-8555",
            "fax_number": "952-401-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23505 SMITHTOWN RD",
            "address_2": "SUITE 100",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553314541",
            "telephone_number": "952-470-8555",
            "fax_number": "952-401-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "JEREMIAH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectrum Eye Care LLC (Brevier Optical)
• Sports Performance Chiropractic
• Madeline St. Martin
• Emma J Stammeyer, ARNP
• Mark Jared Stanley, D.D.S
• Jack Andrew Steele, COTA/L
• Daniel J Stein, MD
• John Strandell, CRNA
• Emily Sundblad
• John Allen Sundquist, CMT

• Chiropractor in Excelsior, MN
• Providers in Excelsior, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.