Active NPI
Jerod Craig Cathcart, D.C
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1811234628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5725
- Practice address
- 441 University Ave W
Suite 202
Saint Paul, MN 55103-2085 - Phone
- (165) 120-7479
- Fax
- (651) 207-4028
- NPI assigned
- Jan 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5725 | MN | Primary |
Addresses
Primary practice location
441 University Ave W
Suite 202
Saint Paul, MN 55103-2085
Mailing address
441 University Ave W
Suite 202
Saint Paul, MN 55103-2085
Phone (165) 120-7479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5725 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aagesen Chiropractic Clinic PA | Chiropractor | Current | Accepting new patients |
| SP Spine Center P a | Chiropractor | Past | Accepting new patients |
Locations
4500 Park Glen Rd
Ste 465
St Louis Park, MN 55416
Phone (612) 920-1092
5050 W 36th St
Ste 100
St Louis Park, MN 55416
Phone (612) 920-1092
Organizations & group practices 2
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.
-
- Chiropractor
- Saint Paul, MN
- NPI 1093058067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358121600000",
"number": "1811234628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 UNIVERSITY AVE W",
"address_2": "SUITE 202",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551032085",
"telephone_number": "165-120-7479",
"fax_number": "651-207-4028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 UNIVERSITY AVE W",
"address_2": "SUITE 202",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551032085",
"telephone_number": "165-120-7479",
"fax_number": "651-207-4028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATHCART",
"first_name": "JEROD",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-14",
"last_updated": "2013-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
- Haley Lynn Elizabeth Castle, NP
- Jamie Lynn Castner, MS, LPC
- Patrick Castrenze, LMFT
- Casual Chiropractic
- Wendy Cates-Dancer, RN
- Catherine Hedberg
- Thomas Gordon Cathey, MD
- Catholic Charities of the Archdiocese of St Paul & MPLS
- Catholic Charities of the Archdiocese of St Paul & MPLS
- Catholic Charities of the Archdiocese of St Paul and Minneapolis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.