DR. JACOB JARED SUNDBERG (NPI# 1619096245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619096245 |
| Entity Type | Individual |
| Full Name | DR. JACOB JARED SUNDBERG |
| Credential | D.C. |
| Practice Address |
15800 95th Ave N Maple Grove MN 55369-4400 |
| Practice Telephone | 9529932259 |
| Practice Fax Number | 9529930980 |
| Mailing Telephone | 9529932259 |
| Mailing Fax Number | 9529930980 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2013-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4924 | MN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629456215 | Jacob Sundberg | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101 | 2015-05-14 |
| Street Address |
15800 95TH AVE N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225011760 | Bernt J Helgaas | Internal Medicine | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2005-11-29 |
| 1174980692 | Park Nicollet Methodist Hospital | General Acute Care Hospital | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2016-01-28 |
| 1558707455 | Jaclyn C Hawes | Physician Assistant | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2013-05-17 |
| 1346561032 | Valerie Lee Saladin | Physician Assistant | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2010-06-16 |
| 1417198839 | Jeannette A Heidlberg | Internal Medicine | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2009-03-13 |
| 1205009016 | Alisa Brooke Grismer | Pharmacist | 15800 95th Ave N, Park Nicollet, Maple Grove, MN 55369-4400 | 2008-04-12 |
| 1982748349 | Sonya Schober | Internal Medicine | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2007-02-19 |
| 1104962844 | Christine Suzanne Goudge Walker | Obstetrics & Gynecology | 15800 95th Ave N, Park Nicollet - Dept of Ob/gyn, Maple Grove, MN 55369-4400 | 2007-01-29 |
| 1750469219 | Jerusha Clare Brager | Physical Therapist | 15800 95th Ave N, Rehab, Maple Grove, MN 55369-4400 | 2006-11-01 |
| 1568552990 | Elizabeth G Yuhasz | Occupational Therapist | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2006-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| 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 |
|---|---|---|---|---|
| 1861031403 | Greg Donald Beenken | Chiropractor | 10900 89th Ave N Ste 1, Maple Grove, MN 55369-4027 | 2019-12-30 |
| 1487213377 | Danielson Chiropractic LLC | Chiropractor | 13700 Reimer Dr N Ste 250a, Maple Grove, MN 55311-4580 | 2019-06-13 |
| 1922529528 | Restore Chiropractic LLC | Chiropractor | 15507 Grove Cir N, Maple Grove, MN 55369-4488 | 2017-07-05 |
| 1013457993 | Trillium Chiropractic & Wellness Pa | Chiropractor | 13700 Reimer Dr Suite 250, Maple Grove, MN 55311 | 2017-02-27 |
| 1235678392 | Makenzie Lynn Steenerson | Chiropractor | 13786 Reimer Dr N, Maple Grove, MN 55311-2205 | 2017-02-21 |
| 1922401579 | Movement Health Solutions, LLC | Chiropractor | 7373 Kirkwood Ct N, Suite 110, Maple Grove, MN 55369-5205 | 2014-09-26 |
| 1144634395 | Petersen Chiropractic Inc. | Chiropractor | 9505 Blackoaks Ln No., Maple Grove, MN 55311 | 2014-06-16 |
| 1609296748 | Renae Elizabeth Taylor | Chiropractor | 7772 Polaris Ln N, Maple Grove, MN 55311-2111 | 2014-04-16 |
| 1215356167 | Brad Griffore | Chiropractor | 13580 Grove Dr, Maple Grove, MN 55311-4400 | 2014-04-08 |
| 1184049298 | Northwest Family Chiropractic Pa | Chiropractor | 7372 Kirkwood Court, Suite A, Maple Grove, MN 55369 | 2014-02-26 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
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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.