Individual provider Active NPI

Robert Joseph Staeheli, D.C.

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1912081365
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2811 Issued in MN
Practice address
1484 Clarmar LN
Saint Paul, MN 55113-1608
Phone
(612) 840-2517
Fax
(651) 330-0826
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2811 MN Primary

Addresses

Primary practice location

1484 Clarmar LN
Saint Paul, MN 55113-1608

Mailing address

1484 Clarmar LN
Saint Paul, MN 55113-1608
Phone (612) 840-2517

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

Practice roles

OrganizationSpecialtyStatusNew patients
Homecare Chiropractic, P.a. Chiropractor PastSince Nov 10, 2004 Accepting new patients
Out and About Chiropractic PLLC Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1912081365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 CLARMAR LN",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551131608",
            "telephone_number": "612-840-2517",
            "fax_number": "651-330-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 CLARMAR LN",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551131608",
            "telephone_number": "612-840-2517",
            "fax_number": "651-330-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAEHELI",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2811",
            "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 May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.