NPIMap

Organization Active NPI

Stable Space

  • Clinic/Center
  • Columbia Heights, MN
National Provider Identifier
1215795745
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
STABLE SPACE
Doing business as
Stable Space
Practice address
548 Lomianki LN NE
Columbia Heights, MN 55421-5031
Phone
(651) 410-7615
NPI assigned
Mar 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Yasin Bune
Title
Owner
Phone
(651) 410-7615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

548 Lomianki LN NE
Columbia Heights, MN 55421-5031

Mailing address

548 Lomianki LN NE
Columbia Heights, MN 55421-5031
Phone (651) 410-7615

Other names 1

  • Stable Space Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1215795745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 LOMIANKI LN NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554215031",
            "telephone_number": "651-410-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 LOMIANKI LN NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554215031",
            "telephone_number": "651-410-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STABLE SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "BUNE",
        "authorized_official_first_name": "YASIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-410-7615"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stable Space",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.