Active NPI
Joshua C Stephens, D.C.
- Chiropractor
- Carver, MN
National Provider Identifier
1760415954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4514
- Practice address
- 4735 Dahlgren Rd Ste 100
Carver, MN 55315-4420 - Phone
- (952) 594-5955
- NPI assigned
- Jul 9, 2006
- Last updated
- Jul 25, 2023
- Sex
- Male
- 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 | 4514 | MN | Primary |
Addresses
Primary practice location
4735 Dahlgren Rd Ste 100
Carver, MN 55315-4420
Mailing address
741 Kristine CT
Victoria, MN 55386-8259
Phone (912) 968-5778
Other practice location 1
825 Hennepin Ave
Suite 216
Minneapolis, MN 55402-1802
Phone (612) 333-9144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 Creek LN S
Jordan, MN 55352-1202
Phone (952) 492-6363
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4514 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belde Chiropractic Clinic, PA | Chiropractor | Past | Accepting new patients |
| IHS Midwest PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Jordan, MN
- NPI 1417001702
-
- Chiropractor
- Monticello, MN
- NPI 1437295532
-
- Chiropractor
- Monticello, MN
- NPI 1588600043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1760415954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 KRISTINE CT",
"city": "VICTORIA",
"state": "MN",
"postal_code": "553868259",
"telephone_number": "912-968-5778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 DAHLGREN RD STE 100",
"city": "CARVER",
"state": "MN",
"postal_code": "553154420",
"telephone_number": "952-594-5955"
}
],
"practiceLocations": [
{
"address_1": "825 Hennepin Ave",
"address_2": "Suite 216",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554021802",
"country_code": "US",
"telephone_number": "612-333-9144",
"fax_number": "612-333-9117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENS",
"first_name": "JOSHUA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carver, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.