Individual provider Active NPI

Joseph M Alberts, CHIROPRACTOR

  • Chiropractor
  • Robbinsdale, MN
National Provider Identifier
1770601130
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4929 Issued in MN
Practice address
4064 Lakeland Ave N
Robbinsdale, MN 55422-2236
Phone
(763) 746-1244
Fax
(163) 746-1246
NPI assigned
Mar 26, 2007
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 4929 MN Primary

Addresses

Primary practice location

4064 Lakeland Ave N
Robbinsdale, MN 55422-2236

Mailing address

4064 Lakeland Ave N
Robbinsdale, MN 55422-2236
Phone (763) 746-1244

Other identifiers 1

IdentifierTypeStateIssuer
4929OtherMNCHIROPRACTIC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180918003970 NC Practitioner - Chiropractic 7911092606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Charlotte Chiropractic PLLCGroup PAC ID 9436344991, 2 clinicians

Practice addresses (Care Compare)

8179 Ardrey Kell Rd
Suite 102
Charlotte, NC 28277-5717
Phone (704) 841-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4795NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Charlotte Chiropractic PLLC Chiropractor CurrentSince Jul 27, 2018 Accepting new patients
Abeler Chiropractic of Andover, P.a. Chiropractor Past Accepting new patients
Monroe Chiropractic Clinic Past Accepting new patients
Conscious Healing Counseling Inc PastSince Mar 1, 2020 Accepting new patients
Daljit Buttar MD PC PastSince Jul 27, 2018 Accepting new patients

Locations

8179 Ardrey Kell Rd
Ste 102
Charlotte, NC 28277
Phone (704) 841-1122

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770601130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4064 LAKELAND AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222236",
            "telephone_number": "763-746-1244",
            "fax_number": "763-746-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4064 LAKELAND AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222236",
            "telephone_number": "763-746-1244",
            "fax_number": "163-746-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTS",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "4929",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsdale, 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.
  • 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.

Verify at the official NPI Registry.