DR. MARK GJENGDAHL (NPI# 1518405943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518405943 |
| Entity Type | Individual |
| Full Name | DR. MARK GJENGDAHL |
| Credential | DC |
| Practice Address |
3613 Robin Ln Minnetonka MN 55305-5530 |
| Mailing Address |
3613 Robin Ln Minnetonka MN 55305-4243 |
| Practice Telephone | 6517968370 |
| Mailing Telephone | 6517968370 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2018-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6281 | MN | Chiropractic Providers |
| Street Address |
3613 ROBIN LN |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-5530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| 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 |
|---|---|---|---|---|
| 1235694555 | Steven Jeffrey Scarfia | Chiropractor | 4739 Highway 101, Minnetonka, MN 55345-2634 | 2019-02-01 |
| 1417462631 | Kyle Anthony Leduc | Chiropractor | 5101 Thimsen Ave Ste 106, Minnetonka, MN 55345-4153 | 2017-12-11 |
| 1699213819 | Daniel Bielefeld | Chiropractor | 5900 Baker Rd, Suite 200, Minnetonka, MN 55345-6055 | 2017-02-08 |
| 1700272143 | Kayla Christine Baldwin | Chiropractor | 12455 Ridgedale Dr Ste 203, Minnetonka, MN 55305-1786 | 2015-04-13 |
| 1639570252 | Joshua Fearn | Chiropractor | 4919 County Road 101, Minnetonka, MN 55345-2638 | 2014-09-15 |
| 1982943320 | Pw Clinics Pllc | Chiropractor | 10653 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1528 | 2013-02-05 |
| 1164714523 | Jeremiah Ryan Schmoe | Chiropractor | 13911 Ridgedale Dr Ste 490, Minnetonka, MN 55305-1772 | 2011-05-04 |
| 1770884546 | Derek Steven Anderson | Chiropractor | 14413 Excelsior Blvd, Minnetonka, MN 55345-5821 | 2010-11-10 |
| 1306156195 | Christine Ann Fischer | Chiropractor | 3454 County Road 101, Minnetonka, MN 55345-1016 | 2010-10-14 |
| 1194037689 | Murphy Chiropractic Clinic P.a. | Chiropractor | 11500 Highway 7 Ste 201, Minnetonka, MN 55305-5107 | 2010-07-13 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
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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.