Individual provider Active NPI

Sonya A Tourville, DC

  • Chiropractor
  • Montrose, MN
National Provider Identifier
1225048176
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2892 Issued in MN
Practice address
145 Nelson Blvd Ste 1000
Montrose, MN 55363
Phone
(763) 675-3121
NPI assigned
Aug 9, 2006
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2892 MN Primary

Addresses

Primary practice location

145 Nelson Blvd Ste 1000
Montrose, MN 55363

Mailing address

PO Box 406
Montrose, MN 55363-0406
Phone (763) 675-3121

Other identifiers 7

IdentifierTypeStateIssuer
231445OtherMNCHIROCARE
4448016OtherMNMEDICA
0287000044OtherMNHSM
350052039OtherMNRR MEDICARE
386328000MedicaidMN
3K701TOOtherMNBCBS
7875640OtherMNAETNA

Other names 1

  • Sonya Ann Marth-Tourville Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312000298 MN Practitioner - Chiropractic 3375432958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

145 Nelson Blvd
Suite 1000
Montrose, MN 55363-8544
Phone (763) 675-3121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2892MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Montrose Wellness PA Chiropractor CurrentSince Jul 1, 2009 Accepting new patients
Sonya a. Tourville Chiropractor PastSince Feb 1, 1992 Accepting new patients

Locations

145 Nelson Blvd
#1000
Montrose, MN 55363
Phone (763) 675-3121

145 Nelson Blvd
Ste 1000
Montrose, MN 55363
Phone (763) 675-3121

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1225048176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "MONTROSE",
            "state": "MN",
            "postal_code": "553630406",
            "telephone_number": "763-675-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 NELSON BLVD STE 1000",
            "city": "MONTROSE",
            "state": "MN",
            "postal_code": "55363",
            "telephone_number": "763-675-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOURVILLE",
        "first_name": "SONYA",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-03-31",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROCARE",
            "identifier": "231445",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "4448016",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HSM",
            "identifier": "0287000044",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350052039",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386328000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3K701TO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7875640",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONYA",
            "last_name": "MARTH-TOURVILLE",
            "middle_name": "ANN",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Montrose, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.