Active NPI
Jaclyn Shikowsky, D.C.
- Chiropractor
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6224
- Practice address
- 2603 White Bear Ave N
Maplewood, MN 55109-5110 - Phone
- (651) 209-8125
- NPI assigned
- Jul 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6224 | MN | Primary |
Addresses
Primary practice location
2603 White Bear Ave N
Maplewood, MN 55109-5110
Mailing address
2603 White Bear Ave N
Maplewood, MN 55109-5110
Phone (651) 209-8125
Other practice location 1
1687 Woodlane Dr Ste 101
Woodbury, MN 55125-3046
Phone (651) 600-3035
Other practice location 2
1660 Highway 100 S Ste 146
St Louis Park, MN 55416-1562
Phone (952) 500-8477
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Healthcare for Women, PA | Current | Accepting new patients | |
| West End Chiropractic and Wellness PA | Chiropractor | Past | Accepting new patients |
Locations
2603 White Bear Ave N
Saint Paul, MN 55109
Phone (651) 209-8125
1687 Woodlane Dr
Ste 101
Woodbury, MN 55125
Phone (651) 209-6263
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Woodbury, MN
- NPI 1841235595
-
- Chiropractor
- St Louis Park, MN
- NPI 1578849428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1750733663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 WHITE BEAR AVE N",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095110",
"telephone_number": "651-209-8125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 WHITE BEAR AVE N",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095110",
"telephone_number": "651-209-8125"
}
],
"practiceLocations": [
{
"address_1": "1687 Woodlane Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "MN",
"postal_code": "551253046",
"country_code": "US",
"telephone_number": "651-600-3035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1660 Highway 100 S Ste 146",
"address_purpose": "LOCATION",
"city": "St Louis Park",
"state": "MN",
"postal_code": "554161562",
"country_code": "US",
"telephone_number": "952-500-8477",
"fax_number": "952-500-9522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIKOWSKY",
"first_name": "JACLYN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-05",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.