Heather Christine Tjepkes, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6315 Issued in MN

Practice address

22388 Blackduck Lake Rd NE
Blackduck, MN 56630-4226

Phone

(218) 841-8109

NPI assigned

Dec 31, 2016

Last updated

Jan 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blackduck Chiropractic, LLC

  • Chiropractor
  • Blackduck, MN
  • NPI 1114465366
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1483142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1780129692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22388 BLACKDUCK LAKE RD NE",
            "city": "BLACKDUCK",
            "state": "MN",
            "postal_code": "566304226",
            "telephone_number": "218-841-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22388 BLACKDUCK LAKE RD NE",
            "city": "BLACKDUCK",
            "state": "MN",
            "postal_code": "566304226",
            "telephone_number": "218-841-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJEPKES",
        "first_name": "HEATHER",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-31",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanford Health of Northern Minnesota (Sanford Blackduck Pharmacy)
• Serenity Living Solutions of Blackduck LLC (Serenity Living Solutions of Blackduck)
• Tam of Blackduck PA (Moons Pharmacy)
• Tender Hearts
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Blackduck)
• Bree Villaran, PT
• Marne Ruth Waldo, PT

• Chiropractor in Blackduck, MN
• Providers in Blackduck, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.