Active NPI
Jeremy Thomas Hurkman, D.C.
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1881885879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4997
- Practice address
- 1973 Sloan PL Ste 250
Saint Paul, MN 55117-2181 - Phone
- (651) 771-2012
- Fax
- (651) 771-8747
- NPI assigned
- Aug 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4398-012 | WI | |
| Chiropractor | 111N00000X | 4997 | MN | Primary |
Addresses
Primary practice location
1973 Sloan PL Ste 250
Saint Paul, MN 55117-2181
Mailing address
1973 Sloan PL Ste 250
Saint Paul, MN 55117-2181
Phone (651) 771-2012
Other practice location 1
1973 Sloan Pl Ste 250
Saint Paul, MN 55117-2181
Phone (651) 771-2012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4398-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol Health & Injury Center, P.a. | Chiropractor | Current | Accepting new patients |
| Belde Chiropractic Clinic, PA | Chiropractor | Past | Accepting new patients |
| IHS Midwest PC | Chiropractor | Past | Accepting new patients |
Locations
1973 Sloan Pl
Ste 250
Saint Paul, MN 55117
Phone (651) 771-2012
Organizations & group practices 3
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.
-
- Chiropractor
- Saint Paul, MN
- NPI 1124562616
-
- Chiropractor
- Monticello, MN
- NPI 1437295532
-
- Chiropractor
- Monticello, MN
- NPI 1588600043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1881885879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1973 SLOAN PL STE 250",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551172181",
"telephone_number": "651-771-2012",
"fax_number": "651-771-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1973 SLOAN PL STE 250",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551172181",
"telephone_number": "651-771-2012",
"fax_number": "651-771-8747"
}
],
"practiceLocations": [
{
"address_1": "1973 Sloan Pl Ste 250",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551172181",
"country_code": "US",
"telephone_number": "651-771-2012",
"fax_number": "651-771-8747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HURKMAN",
"first_name": "JEREMY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4398-012",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4997",
"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 6, 2023; 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.