Individual provider Active NPI

Emily Jenny Dahl, DOCTOR OF CHIROPRACT

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1871886440
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5519 Issued in MN
Practice address
2052 Saint Clair Ave
Saint Paul, MN 55105-1650
Phone
(651) 698-2516
NPI assigned
May 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5519 MN Primary

Addresses

Primary practice location

2052 Saint Clair Ave
Saint Paul, MN 55105-1650

Mailing address

2052 Saint Clair Ave
Saint Paul, MN 55105-1650
Phone (651) 255-9999

Other names 1

  • Ms. Emily Jenny Johnson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110613000843 MN Practitioner - Chiropractic 6608053921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meyers and Dahl Chiropractic PLLCGroup PAC ID 6901308634, 3 clinicians

Practice addresses (Care Compare)

221 N 1St St
Minneapolis, MN 55401-1599
Phone (651) 354-2509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5519MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Meyers and Dahl Chiropractic PLLC CurrentSince Mar 1, 2023 Accepting new patients
Bronson Chiropractic LLC Chiropractor PastSince Feb 26, 2023 Accepting new patients
Hyjek Chiropractic Chiropractor PastSince Aug 28, 2018 Accepting new patients
Groveland Chiropractic Chiropractor PastSince Apr 23, 2016 Accepting new patients

Locations

221 N 1st St
Minneapolis, MN 55401
Phone (612) 354-2509

221 N 1st St
Ste 150
Minneapolis, MN 55401

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": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1871886440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 SAINT CLAIR AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051650",
            "telephone_number": "651-255-9999",
            "fax_number": "651-699-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 SAINT CLAIR AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051650",
            "telephone_number": "651-698-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "EMILY",
        "middle_name": "JENNY",
        "name_prefix": "Mrs.",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "JOHNSON",
            "middle_name": "JENNY",
            "prefix": "MS.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 4, 2016; 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.