Organization Active NPI

Stalzer Enterprises LLC

  • Health Service Clinic/Center
  • Minnetonka, MN
National Provider Identifier
1124527718
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
STALZER ENTERPRISES LLC
Practice address
14525 Highway 7 Ste 180
Minnetonka, MN 55345-3742
Phone
(612) 547-5757
NPI assigned
Feb 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Authorized official

Name
Anthony Stalzer
Title
Owner
Phone
(612) 246-6519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

14525 Highway 7 Ste 180
Minnetonka, MN 55345-3742

Mailing address

5040 Cedar Ave S
Minneapolis, MN 55417-1238
Phone (612) 246-6519

Other names 1

  • Sanctuary Float Spa Doing business as

National Provider Directory

National Provider Directory

Locations

14525 Highway 7
Ste 180
Minnetonka, MN 55345
Phone (612) 547-5757

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1124527718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 CEDAR AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171238",
            "telephone_number": "612-246-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14525 HIGHWAY 7 STE 180",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453742",
            "telephone_number": "612-547-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALZER ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "STALZER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-246-6519"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanctuary Float Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 8, 2018; 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.