Joel Thomas Fugleberg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4878 Issued in MN

Practice address

821 Sibley Memorial Hwy
Mendota Heights, MN 55118-1709

Phone

(612) 849-6586

Fax

(651) 406-4453

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Life Clinic, P.a.

  • Rehabilitation Chiropractor
  • St Louis Park, MN
  • NPI 1023296167
  Medicare reassignment NPD
• Lifeclinic PA

  • Rehabilitation Chiropractor
  • St Louis Park, MN
  • NPI 1922416064
  NPD (past)
• Lifestyle Chiropractic and Wellness, PA

  • Chiropractor
  • Mendota Heights, MN
  • NPI 1376104901
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1932246394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 SIBLEY MEMORIAL HWY",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551181709",
            "telephone_number": "612-849-6586",
            "fax_number": "651-406-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 SIBLEY MEMORIAL HWY",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551181709",
            "telephone_number": "612-849-6586",
            "fax_number": "651-406-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGLEBERG",
        "first_name": "JOEL",
        "middle_name": "THOMAS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Belisle Frey, M.S., BCBA, LBA
• Fridley Assisted Living, LLC
• Julie Fromm
• Lourdes I Frost-Garrote, MS, OTR/L
• Fugleberg Chiropractic, PA (Lifestyle Chiropractic)
• Caroline Frances Gaertner, DPT
• Essia Marie Garfield
• Gabriela Gaytan
• Valerie Kaye Geisendorfer, LICSW
• Janna Christine George, M.A. CCC-SLP

• Chiropractor in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.