Organization Active NPI

Steffen Chiropractic Center, PC

  • Chiropractor
  • Shoreview, MN
National Provider Identifier
1821047812
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1860 Issued in MN
Legal business name
STEFFEN CHIROPRACTIC CENTER, PC
Practice address
500 Highway 96 W
Suite 150
Shoreview, MN 55126-1944
Phone
(651) 483-4040
Fax
(651) 490-9492
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Dr. Jane Marie Steffen, D.C.
Title
President
Phone
(651) 483-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1860 MN Primary

Addresses

Primary practice location

500 Highway 96 W
Suite 150
Shoreview, MN 55126-1944

Mailing address

500 Highway 96 W
Suite 150
Shoreview, MN 55126-1944
Phone (651) 483-4040

Other identifiers 3

IdentifierTypeStateIssuer
57402 7400MedicaidMN
28792STOtherMNBLUE CROSS BLUE SHIELD
DA9467OtherMNRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413000866 MN Part B Supplier - Clinic/Group Practice 4082608930 Receives reassigned benefits from 1 practitioner
Practice locations: Shoreview, MN

National Provider Directory

National Provider Directory

Locations

500 Highway 96 W
Ste 150
Shoreview, MN 55126
Phone (651) 483-4040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1821047812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HIGHWAY 96 W",
            "address_2": "SUITE 150",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261944",
            "telephone_number": "651-483-4040",
            "fax_number": "651-490-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HIGHWAY 96 W",
            "address_2": "SUITE 150",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261944",
            "telephone_number": "651-483-4040",
            "fax_number": "651-490-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFFEN CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "STEFFEN",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-483-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57402 7400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "28792ST",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA9467",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.