Dajana Condos, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6057 Issued in MN

Practice address

1200 S Pokegama Ave
Suite 120
Grand Rapids, MN 55744-4291

Phone

(218) 349-4075

NPI assigned

Feb 2, 2015

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 names 1

• Dajana Margaret Vidovic Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Lakes ChiropracticGroup PAC ID 0042537482, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• North Lakes Chiropractic

  • Chiropractor
  • Grand Rapids, MN
  • NPI 1760872717
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1801286653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S POKEGAMA AVE",
            "address_2": "SUITE 120",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444291",
            "telephone_number": "218-999-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S POKEGAMA AVE",
            "address_2": "SUITE 120",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444291",
            "telephone_number": "218-349-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDOS",
        "first_name": "DAJANA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAJANA",
            "last_name": "VIDOVIC",
            "middle_name": "MARGARET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ellen Rae Cochran, APRN
• Cary R. Cole-Anthony, MD
• Jessica Joyce Colter, MSW, LICSW
• Compass Behavioral Health LLC
• Compass North Psychological Services Inc
• Kolby Robert Condos, D.C
• Corey H Tabbert OD PA
• Corner Medical LLC (Corner Home Medical)
• Lisa Jo Corradi, MSW LICSW
• Patricia Cortese, LICSW

• Chiropractor in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.