DR. JOHN WILLIAM PEPELNJAK III (NPI# 1659580165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659580165 |
| Entity Type | Individual |
| Full Name | DR. JOHN WILLIAM PEPELNJAK III |
| Credential | D.C. |
| Practice Address |
1522 E Superior St Duluth MN 55812-1634 |
| Practice Telephone | 2187244077 |
| Practice Fax Number | 2187243045 |
| Mailing Telephone | 2187244077 |
| Mailing Fax Number | 2187243045 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4561 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38959800 | 05 | |
| DULUTH BCBS | 443L0PE | 01 | |
| TWO HARBORS BCBS | 338L6PE | 01 | |
| MN TIN | 7640075 | 01 |
| Street Address |
1522 E SUPERIOR ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55812-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958326 | Krista Anderson | Behavior Technician | 1522 E Superior St, Duluth, MN 55812-1634 | 2020-09-24 |
| 1902417512 | Kaylen Knutson | Behavior Technician | 1522 E Superior St, Duluth, MN 55812-1634 | 2020-08-17 |
| 1700497310 | Richard Armstrong | Behavioral Analyst | 1522 E Superior St, Duluth, MN 55812-1634 | 2020-08-17 |
| 1164032736 | Janell Ritari | Behavior Technician | 1522 E Superior St, Duluth, MN 55812-1634 | 2020-08-07 |
| 1396363701 | Jena Benoit | Behavior Technician | 1522 E Superior St, Duluth, MN 55812-1634 | 2020-07-13 |
| 1386279438 | Katie Jayne Sandquist | Behavioral Analyst | 1522 E Superior St, Duluth, MN 55812-1634 | 2020-03-10 |
| 1386284941 | Bailey Ann Manisto | Behavior Technician | 1522 E Superior St, Duluth, MN 55812-1634 | 2020-01-13 |
| 1134769607 | Camryn Haak | Behavior Technician | 1522 E Superior St, Duluth, MN 55812-1634 | 2020-01-13 |
| 1972143444 | Justin Lee Boe | Behavior Technician | 1522 E Superior St, Duluth, MN 55812-1634 | 2020-01-13 |
| 1568002046 | Emily Taylor Carleton | Behavior Technician | 1522 E Superior St, Duluth, MN 55812-1634 | 2020-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942743950 | Thomas Anthony Olson | Specialist/Technologist | 1049 Ordean Court, 170 Sports & Health Center, Duluth, MN 55812 | 2016-11-22 |
| 1922457183 | Zen Eye Care Pllc | Optometrist | 2106 London Road, Duluth, MN 55812 | 2016-06-08 |
| 1295134088 | Charla Buxbaum | Specialist/Technologist | 1216 Ordean Ct. Sphc 170, University of Minnesota Duluth, Duluth, MN 55812 | 2014-08-18 |
| 1346473998 | Patricia A Trachte | Nurse Practitioner | 107 Ksc, Umd Quick Care, Duluth, MN 55812 | 2009-08-31 |
| 1003088543 | Arrowhead House Inc | Community Based Residential Treatment Facility, Mental Illness | 16 South 18th Avenue East, Duluth, MN 55812 | 2008-03-25 |
| 1073689295 | Nicolle Marie Nicklas | Nurse Anesthetist, Certified Registered | 219 Garden St., Duluth, MN 55812 | 2006-11-28 |
| 1346328762 | Timothy Patrick Stratton | Pharmacist | 386a Kirby Plaza, 1208 Kirby Drive, Duluth, MN 55812 | 2006-11-02 |
| 1316960701 | Questar Duluth, Inc | Specialist | 1527 London Road, Duluth, MN 55812 | 2006-07-26 |
| 1063401297 | Clinton T Moen | Specialist | 2711 E 5th St, Duluth, MN 55812 | 2005-10-20 |
| 1124016563 | Christine Aas-larson | Nurse Practitioner | 1502 London Road, Suite 102, Duluth, MN 55812 | 2005-10-10 |
| Find all providers in zip 55812 | ||||
| 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 |
|---|---|---|---|---|
| 1164034591 | Chantelle Frazier | Chiropractor | 2131 Pleasant Hill Rd Ste 122, Duluth, GA 30096-4657 | 2020-08-18 |
| 1396371571 | Northern Lakes Chiropractic LLC | Chiropractor | 2340 Mountain Shadow Dr, Duluth, MN 55811-3809 | 2020-03-19 |
| 1578113973 | Chester Creek Chiropractic | Chiropractor | 1324 E 4th St Ste A, Duluth, MN 55805-2335 | 2019-09-17 |
| 1467007997 | Pleasant Hill Chiropractic | Chiropractor | 4390 Pleasant Hill Rd Ste G, Duluth, GA 30096-8054 | 2019-08-01 |
| 1851951024 | Marian Denisse Ortiz Rodriguez | Chiropractor | 3775 Venture Dr Bldg F, Duluth, GA 30096-5102 | 2019-06-19 |
| 1396234613 | Sangsoo Lee | Chiropractor | 2148 Duluth Highway 120 Ste 110, Duluth, GA 30097-4504 | 2018-05-02 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1942708235 | Kyle Severson | Chiropractor | 224 E Central Entrance Ste C, Duluth, MN 55811-5518 | 2018-02-01 |
| 1669987228 | Frances Hearn | Chiropractor | 2719 Irene Cir, Duluth, GA 30096-4149 | 2017-12-05 |
| 1467966911 | Corey Steven Milbrandt | Chiropractor | 925 E Superior St Ste 112, Duluth, MN 55802-2253 | 2017-11-20 |
| Find all providers in DULUTH | ||||
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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.