Individual provider Active NPI

Joel Alan Fenske, DC

  • Chiropractor
  • Farmington, MN
National Provider Identifier
1841317013
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4523 Issued in MN
Practice address
20700 Chippendale Ave W Ste 7
Farmington, MN 55024
Phone
(651) 460-9449
Fax
(612) 326-9581
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4523 MN Primary

Addresses

Primary practice location

20700 Chippendale Ave W Ste 7
Farmington, MN 55024

Mailing address

20700 Chippendale Ave W Ste 7
Farmington, MN 55024-8206
Phone (651) 460-9449

Other practice location 1

17595 Kenwood Trl
Suite 190
Lakeville, MN 55044-9226
Phone (952) 898-5929

Other identifiers 1

IdentifierTypeStateIssuer
953150500OtherMNMN-ITS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000856 MN Practitioner - Chiropractic 3870579014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic Center, PAGroup PAC ID 0941479430, 3 clinicians

Practice addresses (Care Compare)

20700 Chippendale W Ave
Suite 7
Farmington, MN 55024-8206
Phone (651) 460-9449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4523MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Center, PA CurrentSince Oct 1, 2019 Accepting new patients
Lifespan Chiropractic PA Current Accepting new patients
Kingsway Chiropractic, PA Past Accepting new patients
Skyline Chiropractic, P.a. Chiropractor PastSince Feb 11, 1993 Accepting new patients

Locations

20700 Chippendale Ave W
Ste 8
Farmington, MN 55024

20700 Chippendale Ave W
Ste 7
Farmington, MN 55024
Phone (651) 329-4911

Organizations & group practices 4

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1841317013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 CHIPPENDALE AVE W STE 7",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550248206",
            "telephone_number": "651-460-9449",
            "fax_number": "612-326-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 CHIPPENDALE AVE W STE 7",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "55024",
            "telephone_number": "651-460-9449",
            "fax_number": "612-326-9581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17595 Kenwood Trl",
            "address_2": "Suite 190",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "MN",
            "postal_code": "550449226",
            "country_code": "US",
            "telephone_number": "952-898-5929",
            "fax_number": "952-898-5959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENSKE",
        "first_name": "JOEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN-ITS PROVIDER NUMBER",
            "identifier": "953150500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.