Active NPI
Gregg C Hebeisen, D.C.
- Chiropractor
- Fridley, MN
National Provider Identifier
1952557134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC2214
- Practice address
- 6280 Highway 65 NE
Fridley, MN 55432-5188 - Phone
- (763) 571-9499
- Fax
- (763) 502-0364
- NPI assigned
- Aug 7, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC2214 | MN | Primary |
Addresses
Primary practice location
6280 Highway 65 NE
Fridley, MN 55432-5188
Mailing address
6280 Highway 65 NE
Fridley, MN 55432-5188
Phone (763) 571-9499
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026232 | Other | MN | PAS |
| 13N21HE | Other | MN | BLUECROSS BLUESHIELD |
| 44448225 | Other | TX | MEDICA |
| 665950 | Other | MN | AMERICAS PPO |
| 665950 | Other | GA | DEFINITY HEALTH |
| 237P3HE | Other | BLUECROSS BLUESHIELD | |
| 13N31HE | Other | MN | BLUECROSS BLUE SHIELD |
| 767527500 | Medicaid | MN | |
| 01005230 | Other | MN | PREFERED ONE |
| 4425650 | Other | MN | MEDICA |
| 47676807801 | Other | IL | CIGNA HEALTH CARE |
| 230321 | Other | UT | UNITED HEALTHCARE |
| 231414 | Other | CA | AMERICAN SPECIALTY HEALTH GROUP |
| 377 | Other | MN | HEALTH SERVICE MGMT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6280 Hwy 65 NE
Fridley, MN 55432-5188
Phone (763) 571-9499
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC2214 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Health PA | Chiropractor | Current | Accepting new patients |
Locations
6280 Highway 65 NE
Minneapolis, MN 55432
Phone (763) 571-9499
Organizations & group practices 1
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
- Fridley, MN
- NPI 1942380613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1952557134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6280 HIGHWAY 65 NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554325188",
"telephone_number": "763-571-9499",
"fax_number": "763-502-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6280 HIGHWAY 65 NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554325188",
"telephone_number": "763-571-9499",
"fax_number": "763-502-0364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBEISEN",
"first_name": "GREGG",
"middle_name": "C",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-07",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "DC2214",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAS",
"identifier": "1026232",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "13N21HE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "44448225",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAS PPO",
"identifier": "665950",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEFINITY HEALTH",
"identifier": "665950",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "237P3HE",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "13N31HE",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "767527500",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERED ONE",
"identifier": "01005230",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "4425650",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH CARE",
"identifier": "47676807801",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "230321",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPECIALTY HEALTH GROUP",
"identifier": "231414",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH SERVICE MGMT",
"identifier": "377",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.