Active NPI
Jason Davis Fleisner, DC
- Chiropractor
- Bloomington, MN
National Provider Identifier
1861544900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4718
- Practice address
- 5001 American Blvd W
#945
Bloomington, MN 55437-1162 - Phone
- (952) 835-6653
- Fax
- (952) 835-3895
- NPI assigned
- Jan 17, 2007
- 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 | 4718 | MN | Primary |
Addresses
Primary practice location
5001 American Blvd W
#945
Bloomington, MN 55437-1162
Mailing address
730 West Village Road
#106
Chanhassen, MN 55317-7532
Phone (612) 384-7480
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4718 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861544900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 WEST VILLAGE ROAD",
"address_2": "#106",
"city": "CHANHASSEN",
"state": "MN",
"postal_code": "553177532",
"telephone_number": "612-384-7480",
"fax_number": "952-835-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 AMERICAN BLVD W",
"address_2": "#945",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554371162",
"telephone_number": "952-835-6653",
"fax_number": "952-835-3895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEISNER",
"first_name": "JASON",
"middle_name": "DAVIS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.