DR. JAY PATRICK BERTSCH (NPI# 1164426607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164426607 |
| Entity Type | Individual |
| Full Name | DR. JAY PATRICK BERTSCH |
| Credential | D.C. |
| Practice Address |
12217 Champlin Dr Champlin MN 55316-1930 |
| Practice Telephone | 7633231492 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2766 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 124328400 | 05 |
| Street Address |
12217 CHAMPLIN DR |
| City | CHAMPLIN |
| State | MN |
| Zip Code | 55316-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215409206 | Haley Ann Bertsch | Chiropractor | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2019-01-02 |
| 1578007571 | Tiffany Watson | Registered Nurse | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2016-12-09 |
| 1518416247 | Erik Starr | Chiropractor | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2016-09-22 |
| 1659662252 | Lori Jokinen | Chiropractor | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2011-04-29 |
| 1609056902 | Cheri M Nelson | Massage Therapist | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2007-11-05 |
| 1790803187 | Maria Eyberg | Physical Therapist | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2007-03-26 |
| 1508953126 | Andrea Newport | Physical Therapist | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2006-10-06 |
| 1588755391 | Anne Adix | Specialist | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2006-09-27 |
| 1457458689 | Team Health Care Clinic, PC | Chiropractor | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2006-09-20 |
| 1295731503 | Joseph Alan Bertsch | Chiropractor | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2005-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1811463573 | Vikings Home Health Care LLC | Meals | 11551 Georgia Ave, N, Champlin, MN 55316 | 2018-10-22 |
| 1255853305 | Matthew L Boelter | Hearing Instrument Specialist | 11451 Oregon Ave N, Champlin, MN 55316 | 2017-07-11 |
| 1194198309 | Champlin Dentistry, PC | Dentist | 11231 Aquila Drive N, Champlin, MN 55316 | 2015-11-10 |
| 1336557412 | Kelsey Voigt | Pharmacist | 11990 Business Park Blvd, Champlin, MN 55316 | 2014-08-01 |
| 1346502523 | Transitions Home Care Ltd | Home Health | 11030 Douglas Drive North, Champlin, MN 55316 | 2012-06-13 |
| 1639373285 | Michael D Smilanich | Dentist | 11231 Aquila Dr N, Champlin, MN 55316 | 2007-06-14 |
| 1760532907 | Kurt Allan Bender | Dentist | 500 A Jefferson Hwy, Champlin, MN 55316 | 2007-01-11 |
| 1366529752 | Gregory Allan Holmberg | Chiropractor | #8 3rd Street Nw, Osseo, MN 55316 | 2006-11-01 |
| Find all providers in zip 55316 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740690353 | Dimensions Chiropractic and Wellness | Chiropractor | 11309 Toledo Ave, Champlin, MN 55316-3570 | 2014-05-05 |
| 1760892509 | Elizabeth Buyse Kessler | Chiropractor | 8900 109th Ave N, Suite 700, Champlin, MN 55316-3164 | 2014-05-01 |
| 1326326661 | Bammert Family Chiropractic, LLC | Chiropractor | 11583 Theatre Dr N, Champlin, MN 55316-2750 | 2011-08-03 |
| 1689984023 | Peak Chiropractic and Wellness | Chiropractor | 11631 Magnolia Ct N, Champlin, MN 55316-2622 | 2010-10-19 |
| 1326273798 | Summit Chiropractic, Inc | Chiropractor | 11030 Douglas Dr N, Champlin, MN 55316-3466 | 2009-05-28 |
| 1891920013 | Charles Bammert | Chiropractor | 11565 Theatre Dr N, 107, Champlin, MN 55316-2750 | 2009-05-18 |
| 1497974950 | Jeff Brist | Chiropractor | 12176 Ensign Ave N, Champlin, MN 55316-1944 | 2007-04-24 |
| 1093854374 | David Leland Fandrich | Chiropractor | 11452 Jefferson Ct, Champlin, MN 55316-2737 | 2007-02-05 |
| 1417023706 | Jeffrey Kenneth Klein | Chiropractor | 11468 Marketplace Dr N, Suite 500, Champlin, MN 55316-3872 | 2006-11-28 |
| 1629164462 | David R Lee | Chiropractor | 11350 Aquila Dr N Ste 825, Champlin, MN 55316-3798 | 2006-10-05 |
| Find all providers in CHAMPLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.