Joel Gregory Thielen

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

A-45 Issued in IA

Practice address

1880 Radford Road
Dubuque, IA 52002

Phone

(563) 582-7878

NPI assigned

Jun 12, 2008

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

Other names 1

• Jason Burke Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1982864047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 RADFORD ROAD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 RADFORD ROAD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52002",
            "telephone_number": "563-582-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELEN",
        "first_name": "JOEL",
        "middle_name": "GREGORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IA",
            "license": "A-45",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "BURKE",
            "credential": "LAC DIPL AC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lori Jean Theisen, I.B.C.L.C, RN
• Scott Theisen, M.A., L.M.H.C.
• Sarah D Thibadeau, APNP
• Alecia K. Thiele, P.T.
• Shawn Robert Thiele, P.T.
• Diane M Thier, DPT
• Brenda Jane Thies, R.PH.
• Kelly M Thimmesh
• Molly Jordan Thomas, CRNA
• Charisse Renee Thompson, OTR/L

• All providers in Dubuque, IA
• Acupuncturist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.