Christian Invictus Jovanovic, DACM, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1350 Issued in MN

Practice address

2501 W 84TH St
Bloomington, MN 55431-1602

Phone

(952) 888-4777

Fax

(952) 886-7561

NPI assigned

Dec 28, 2009

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

Other names 1

• Mr. Christian Matthew Hanson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mankato Acupuncture Clinic, LLC

  • Acupuncturist
  • North Mankato, MN
  • NPI 1275180150
  NPD (past)
• Mankato Acupuncture Clinic, LLC

  • Acupuncturist
  • Mankato, MN
  • NPI 1356759740
  NPD (past)
• Northwestern Health Sciences University

  • Multi-Specialty Clinic/Center
  • Bloomington, MN
  • NPI 1124103544
  NPD (past)
• Sweere Clinic LLC

  • Clinic/Center
  • Bloomington, MN
  • NPI 1942778097
  NPD (past)

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1760712657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W 84TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311602",
            "telephone_number": "952-888-4777",
            "fax_number": "952-886-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 84TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311602",
            "telephone_number": "952-888-4777",
            "fax_number": "952-886-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVANOVIC",
        "first_name": "CHRISTIAN",
        "middle_name": "INVICTUS",
        "name_prefix": "Dr.",
        "credential": "DACM, L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-28",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIAN",
            "last_name": "HANSON",
            "middle_name": "MATTHEW",
            "prefix": "MR.",
            "credential": "L.AC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andre Christian Jorgensen
• Michael W. Jorgenson, DDS,MS,MBA
• Samir Ashwin Joshi, MD
• Sandhya Joshi, MD
• Journey2Therapy
• Joytocare Home Services
• JRB Holdings, LLC
• Bridget Juffer, MSW
• Zahra Yusuf Juma
• Skye Juneau

• Acupuncturist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.