Individual provider Active NPI

Jerod Craig Cathcart, D.C

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1811234628
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5725 Issued in MN
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

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5725MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aagesen Chiropractic Clinic PA Chiropractor CurrentSince Jun 25, 2013 Accepting new patients
SP Spine Center P a Chiropractor PastSince Nov 18, 2013 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.

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

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.

Verify at the official NPI Registry.