Active NPI
Jason Paul Strandberg, D.C.
- Sports Physician Chiropractor
- Minnetonka, MN
National Provider Identifier
1013149442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC3969
- Practice address
- 1700 Plymouth Rd Apt 417
Minnetonka, MN 55305-1986 - Phone
- (612) 306-5691
- Fax
- (612) 235-7918
- NPI assigned
- Aug 18, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC3969 | MN | |
| Rehabilitation Chiropractor | 111NR0400X | DC3969 | MN | |
| Occupational Health Chiropractor | 111NX0100X | DC3969 | MN | |
| Sports Physician Chiropractor | 111NS0005X | DC3969 | MN | Primary |
Addresses
Primary practice location
1700 Plymouth Rd Apt 417
Minnetonka, MN 55305-1986
Mailing address
14604 Woodhaven Rd
Minnetonka, MN 55345-2362
Phone (952) 222-7886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC3969 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Minnetonka Mobile Wellness, PA | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Minnetonka, MN
- NPI 1093461048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1013149442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14604 WOODHAVEN RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553452362",
"telephone_number": "952-222-7886",
"fax_number": "612-235-7918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 PLYMOUTH RD APT 417",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051986",
"telephone_number": "612-306-5691",
"fax_number": "612-235-7918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRANDBERG",
"first_name": "JASON",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-18",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "DC3969",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MN",
"license": "DC3969",
"primary": false
},
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "MN",
"license": "DC3969",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MN",
"license": "DC3969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.