Sanya Sheree Mortenson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3546 Issued in MN

Practice address

403 America Ave NW
Bemidji, MN 56601-3122

Phone

(218) 444-8727

Fax

(218) 444-8546

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Sanya Sheree Mortenson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwestern Health Sciences University

  • Multi-Specialty Clinic/Center
  • Bloomington, MN
  • NPI 1124103544
  NPD (past)
• Sweere Clinic LLC

  • Clinic/Center
  • Bloomington, MN
  • NPI 1942778097
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1104823855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 SHERMAN DR NE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015359",
            "telephone_number": "218-444-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 AMERICA AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013122",
            "telephone_number": "218-444-8727",
            "fax_number": "218-444-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSON",
        "first_name": "SANYA",
        "middle_name": "SHEREE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "770299",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292526500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "397L2MO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANYA",
            "last_name": "MORTENSON",
            "middle_name": "SHEREE",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Francis Moraleda, MD
• Janet R Moris, LRD
• Matthew Morris, ATC
• Michael David Morris, OTR/L
• Ralph Dozier Morris, M.D. M.P.H.
• Emma Motl, MD
• Moving Mountains LLC
• Marshall George Muirhead, DDS
• William G Muller, MD
• Christopher Mullet, DO

• Chiropractor in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.