Jason Dominic Pulczinski, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4248 Issued in MN

Practice address

2460 Highway 100 S
Saint Louis Park, MN 55416-1704

Phone

(952) 922-3111

Fax

(952) 922-0999

NPI assigned

Oct 4, 2006

Last updated

Mar 19, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

• Metro Injury, LLC

  • Neurology Physician
  • St Louis Park, MN
  • NPI 1376775049
  NPD (past)
• Sound Chiropractic Center of Seattle

  dba CenterPoint Chiropractic and Wellness

  • Chiropractor
  • Seattle, WA
  • NPI 1881952885
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1780770388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13335 PALOMINO DR",
            "address_2": "STE 101",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244249",
            "telephone_number": "952-922-3111",
            "fax_number": "952-922-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 HIGHWAY 100 S",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161704",
            "telephone_number": "952-922-3111",
            "fax_number": "952-922-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULCZINSKI",
        "first_name": "JASON",
        "middle_name": "DOMINIC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ann Pruitt-Johnson
• Nicolas Constandine Psihoyos
• Psychotherapy & Healing Associates
• Ann Marie Pugliese, PT
• Christine M Pui, M.D.
• Lindsay M Pullen
• Solongo Purev, D.M.D.
• Jordan Putz
• Sardar Qaidi
• Zhenling Qu, MS

• Chiropractor in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.