Individual provider Active NPI

Jeffrey Bonsell, DC

  • Chiropractor
  • Shoreview, MN
National Provider Identifier
1750460689
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1731 Issued in MN
Practice address
3570 Lexington Ave N
#208
Shoreview, MN 55126-8049
Phone
(651) 481-1488
NPI assigned
Nov 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 1731 MN Primary

Addresses

Primary practice location

3570 Lexington Ave N
#208
Shoreview, MN 55126-8049

Mailing address

2239 Foxtail CT
White Bear Lake, MN 55110-1038
Phone (651) 653-0344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1731MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Millsop Chiropractic, P.a. Chiropractor CurrentSince Apr 15, 2008 Accepting new patients

Locations

3570 Lexington Ave N
Ste 208
Shoreview, MN 55126
Phone (651) 400-7026

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750460689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 FOXTAIL CT",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551101038",
            "telephone_number": "651-653-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 LEXINGTON AVE N",
            "address_2": "#208",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268049",
            "telephone_number": "651-481-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONSELL",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.