Organization Active NPI

Dr. Richard Sand, D.C., P.a

  • Chiropractor
  • Golden Valley, MN
National Provider Identifier
1255478665
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MINNESOTA Issued in MN
Legal business name
DR. RICHARD SAND, D.C., P.A
Practice address
1710 Douglas Dr N
Suite 220
Golden Valley, MN 55422-4327
Phone
(763) 377-6655
Fax
(763) 377-1666
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mr. Richard Allen Sand, D.C., P.A.
Title
Owner
Phone
(763) 377-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MINNESOTA MN Primary

Addresses

Primary practice location

1710 Douglas Dr N
Suite 220
Golden Valley, MN 55422-4327

Mailing address

1710 Douglas Dr N
Suite 220
Golden Valley, MN 55422-4327
Phone (763) 377-6655

Other identifiers 1

IdentifierTypeStateIssuer
198027100MedicaidMN

Other names 1

  • Valley Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1710 Douglas Dr N
Ste 220
Golden Valley, MN 55422
Phone (763) 377-6655

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1255478665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N",
            "address_2": "SUITE 220",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224327",
            "telephone_number": "763-377-6655",
            "fax_number": "763-377-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N",
            "address_2": "SUITE 220",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224327",
            "telephone_number": "763-377-6655",
            "fax_number": "763-377-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICHARD SAND, D.C., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "SAND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-377-6655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C., P.A."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "MINNESOTA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198027100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.