Shakopee Pain Clinic

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

866867100036 Issued in MN

Legal business name

SHAKOPEE PAIN CLINIC

Practice address

255 1St Ave E
Shakopee, MN 55379-1440

Phone

(952) 777-2990

NPI assigned

Mar 31, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Antonio Barrientez

Title

Owner

Phone

(952) 777-2990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1073976601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 1ST AVE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791440",
            "telephone_number": "952-777-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 1ST AVE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791440",
            "telephone_number": "952-777-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKOPEE PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "BARRIENTEZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-777-2990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MN",
            "license": "866867100036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manisha Dharmesh Shah, NURSE PRACTITIONER
• Shakopee Care LLC
• Shakopee Dental P.L.L.C.
• Shakopee Family Chiropractic
• Shakopee Mobile Meals
• Shakopee Valley Family Dental Care, P.a.
• Sapana Shakya, FNP
• Rykart John Sharpe
• Shepard Interpreting and Transportation
• Kathleen Nicole Sherer

• Health Maintenance Organization in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Health Maintenance Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.