Individual provider Active NPI

Jorge J Hernandez, DC

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1790997377
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4795 Issued in MN
Practice address
14500 Burnhaven Dr Ste 180
Burnsville, MN 55306-5610
Phone
(952) 895-0660
Fax
(952) 895-9408
NPI assigned
May 4, 2007
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4795 MN Primary

Addresses

Primary practice location

14500 Burnhaven Dr Ste 180
Burnsville, MN 55306-5610

Mailing address

14500 Burnhaven Dr Ste 180
Burnsville, MN 55306-5610
Phone (952) 895-0660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000159 MN Practitioner - Chiropractic 3577638451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Chiropractic PAGroup PAC ID 3476551946, 2 clinicians

Practice addresses (Care Compare)

14500 Burnhaven Dr
Suite 180
Burnsville, MN 55306-4960

14500 Burnhaven Dr
Suite 180
Burnsville, MN 55306-5610
Phone (952) 895-0660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East St Paul Health PA Chiropractor Past Accepting new patients
Premier Health of Roseville, LTD Chiropractor PastSince Jan 26, 2012 Accepting new patients

Organizations & group practices 3

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1790997377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 BURNHAVEN DR STE 180",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065610",
            "telephone_number": "952-895-0660",
            "fax_number": "952-895-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 BURNHAVEN DR STE 180",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065610",
            "telephone_number": "952-895-0660",
            "fax_number": "952-895-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JORGE",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.