Stonebridge Wellness LTD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

6381 Issued in MN

Legal business name

STONEBRIDGE WELLNESS LTD

Practice address

1300 E 66TH St Ste 100
Richfield, MN 55423-2685

Phone

(612) 354-3165

NPI assigned

Jun 18, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shane Smith, DC

Title

President

Phone

(612) 805-9697

Specialties & licenses 1

Addresses

Other names 1

• StoneBridge Chiropractic Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497744000000",
    "number": "1033649587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10549 THOMAS AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 66TH ST STE 100",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232685",
            "telephone_number": "612-354-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBRIDGE WELLNESS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-805-9697",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "6381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneBridge Chiropractic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "StoneBridge Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brenda Steinkamp, MA, LP, LICSW
• Stepping Stone Clinic, LLC
• Erin Stertz-Follett
• Steven J. Ruff, M.a., LMFT LLC
• Stonebridge Chiropractic Inc.
• Carol J Strand, LMFT
• Katharine Marcia Straub
• Kathryn Strobel
• Anna R Strupp
• Alexandra Subbaraman, MSW, LICSW

• Clinic/Center in Richfield, MN
• Providers in Richfield, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.