Active NPI
Sean Cameron Quast, D.C.
- Chiropractor
- White Bear Lake, MN
National Provider Identifier
1194010603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2904
- Practice address
- 1591 County Road H2
White Bear Lake, MN 55110-6401 - Phone
- (651) 777-2225
- NPI assigned
- Jun 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2904 | MN | Primary |
Addresses
Primary practice location
1591 County Road H2
White Bear Lake, MN 55110-6401
Mailing address
3607 White Bear Ave N
White Bear Lake, MN 55110-4744
Phone (651) 777-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2904 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quast Clinic LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- White Bear Lake, MN
- NPI 1164703492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1194010603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3607 WHITE BEAR AVE N",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551104744",
"telephone_number": "651-777-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1591 COUNTY ROAD H2",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551106401",
"telephone_number": "651-777-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAST",
"first_name": "SEAN",
"middle_name": "CAMERON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Bear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.