Individual provider Active NPI

John Hemingson, DC

  • Chiropractor
  • Eagan, MN
National Provider Identifier
1922589290
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6535 Issued in MN
Practice address
1590 Thomas Center Dr Ste 110
Eagan, MN 55122-5406
Phone
(651) 209-9710
NPI assigned
Aug 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6535 MN Primary

Addresses

Primary practice location

1590 Thomas Center Dr Ste 110
Eagan, MN 55122-5406

Mailing address

1590 Thomas Center Dr Ste 110
Eagan, MN 55122-5406
Phone (651) 209-9710

Other identifiers 1

IdentifierTypeStateIssuer
6535OtherMNMN CHIROPRACTIC LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180914000214 MN Practitioner - Chiropractic 0648520510 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6535MNMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Family Chiropractic, PLLC Chiropractor CurrentSince Sep 1, 2018 Accepting new patients
Back to It Chiropractic PLLC Chiropractor PastSince Mar 1, 2010 Accepting new patients
Chiropractic Wellness Innovations PLLC Chiropractor PastSince Sep 1, 2018 Accepting new patients
Beilby Chiropractic and Wellness Clinic, LLC Chiropractor Past Accepting new patients

Locations

1590 Thomas Center Dr
Eagan, MN 55122

1590 Thomas Center Dr
Ste 110
Saint Paul, MN 55122
Phone (651) 209-9710

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1922589290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 THOMAS CENTER DR STE 110",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551225406",
            "telephone_number": "651-209-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 THOMAS CENTER DR STE 110",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551225406",
            "telephone_number": "651-209-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMINGSON",
        "first_name": "JOHN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN CHIROPRACTIC LICENSE",
            "identifier": "6535",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.

Verify at the official NPI Registry.