SP Spine Center P a

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4841 Issued in MN

Legal business name

SP SPINE CENTER P A

Practice address

441 University Ave W
Suite 202
Saint Paul, MN 55103-2085

Phone

(651) 207-4879

Fax

(651) 207-4028

NPI assigned

Mar 28, 2013

Last updated

Jan 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tony P Wangerin, D.C.

Title

President

Phone

(651) 207-4879

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerod Craig Cathcart, D.C

  • Chiropractor
  • Saint Paul, MN
  • NPI 1811234628
  NPD (past)

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1093058067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 UNIVERSITY AVE W",
            "address_2": "SUITE 202",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032085",
            "telephone_number": "651-207-4879",
            "fax_number": "651-207-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 UNIVERSITY AVE W",
            "address_2": "SUITE 202",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032085",
            "telephone_number": "651-207-4879",
            "fax_number": "651-207-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP SPINE CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "WANGERIN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-207-4879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southview Senior Living
• Carol A Soutor, MD
• Ashley Elizabeth Sovereign, PSY.D
• John Sowada, MA
• James M Soyka, M.D.
• Kevin Gawain Spaeth
• Emmalee T Spahl
• Terrance J Spahl, D.D.S.
• David Andrew Spande, O.D.
• Stephanie Ann Spandl, LICSW

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.