Individual provider Active NPI

Joshua A Kary, DC

  • Chiropractor
  • Lake Elmo, MN
National Provider Identifier
1780707091
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4486 Issued in MN
Practice address
8519 Eagle Point Blvd Ste 110
Lake Elmo, MN 55042-8630
Phone
(651) 731-1880
Fax
(651) 739-6029
NPI assigned
Apr 10, 2007
Last updated
Dec 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4486 MN Primary

Addresses

Primary practice location

8519 Eagle Point Blvd Ste 110
Lake Elmo, MN 55042-8630

Mailing address

8519 Eagle Point Blvd Ste 110
Lake Elmo, MN 55042-8630
Phone (651) 731-1880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040313000215 MN Practitioner - Chiropractic 8820987241 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

8519 Eagle Point Blvd
Suite 110
Lake Elmo, MN 55042-8630
Phone (651) 731-1880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
IHS of Woodbury, P.a. Chiropractor CurrentSince Oct 1, 2010 Accepting new patients
IHS of Woodbury PA Chiropractor Current Accepting new patients
Belde Chiropractic Clinic, PA Chiropractor PastSince Nov 1, 2012 Accepting new patients
IHS Midwest PC Chiropractor PastSince Mar 1, 2011 Accepting new patients
Midway Healthcare Services PA Chiropractor Past Accepting new patients
City Lakes Chiropractic PA Chiropractor PastSince Apr 24, 2017 Accepting new patients

Locations

8519 Eagle Point Blvd
Ste 110
Lake Elmo, MN 55042
Phone (651) 731-1880

1754 Old Hudson Rd
Saint Paul, MN 55106
Phone (612) 708-1067

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1780707091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8519 EAGLE POINT BLVD STE 110",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428630",
            "telephone_number": "651-731-1880",
            "fax_number": "651-739-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8519 EAGLE POINT BLVD STE 110",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428630",
            "telephone_number": "651-731-1880",
            "fax_number": "651-739-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARY",
        "first_name": "JOSHUA",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elmo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.