Janelle Alise Becker-Puklich, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3321 Issued in MN

Practice address

7975 Stone Creek Drive
#20
Chanhassen, MN 55317

Phone

(952) 746-8150

Fax

(952) 746-8252

NPI assigned

Oct 17, 2006

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

Other identifiers 2

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 and National Provider Directory roles.

• Aagesen Chiropractic Clinic PA

  • Occupational Therapist
  • St Louis Park, MN
  • NPI 1457431827

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1790865384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 STONE CREEK DRIVE",
            "address_2": "#20",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "55317",
            "telephone_number": "952-746-8150",
            "fax_number": "952-746-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 STONE CREEK DRIVE",
            "address_2": "#20",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "55317",
            "telephone_number": "952-746-8150",
            "fax_number": "952-746-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER-PUKLICH",
        "first_name": "JANELLE",
        "middle_name": "ALISE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "937319500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "4C861BE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marie-Wilker Barrett, M.A. L.M.F.T
• Mary Margaret Bateman, R.N.
• Natalie Bauman, FNP-C
• Harold Baumchen, PSY. D, L.P.
• Joan Marlayne Bazella, PT
• Catherine Beringer, MSW, LICSW
• Donald Lynn Bezdicek, PA-C
• Bianca Bianchi-Rossi, DC
• Dana Deeanne Birkholz, DPT
• Adam Blaschko, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.