John Robert Pietila, D.C., D.A.C.N.B.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

4304 Issued in MN

Practice address

12376 River Ridge Blvd
Burnsville, MN 55337-1665

Phone

(952) 808-0987

Fax

(952) 808-0986

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Pietila ChiropracticGroup PAC ID 5597940767, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pietila Chiropractic

  • Neurology Chiropractor
  • Burnsville, MN
  • NPI 1083923460
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1770638520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12358 RIVER RIDGE BLVD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371665",
            "telephone_number": "952-681-7746",
            "fax_number": "952-681-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12376 RIVER RIDGE BLVD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371665",
            "telephone_number": "952-808-0987",
            "fax_number": "952-808-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETILA",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.C.N.B.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MN",
            "license": "4304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Pamela Piccolino, PSYD, LP
• Kristi K Picken, RN,MS,CNS
• Kathryn M Pieper, COTA
• Susan Marie Piepgras, MSW, LICSW
• Pietila Chiropractic
• Piff Holdings, P.C.
• Shannon Pikka, LPC
• Brie Pileggi, PSY.D., LP, ABPP
• Pillarpoint Healthcare Services LLC
• Pillarpoint Wellness Center

• Neurology Chiropractor in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Neurology Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.