NPIMap

Organization Active NPI

Mai Spine Center

  • Chiropractor
  • St. Paul, MN
National Provider Identifier
1255563227
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4848 Issued in MN
Legal business name
MAI SPINE CENTER
Practice address
485 Arundel St
Suite 102
St. Paul, MN 55103-1931
Phone
(651) 797-3866
Fax
(651) 207-5395
NPI assigned
Aug 10, 2009
Organization subpart
Yes
Parent organization
MAI SPINE CENTER PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Dr. Michael Dung Mai, D.C.NPI 1154552925
Title
Ceo
Phone
(612) 227-9606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 4848 MN Primary
Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RM1200X

Addresses

Primary practice location

485 Arundel St
Suite 102
St. Paul, MN 55103-1931

Mailing address

485 Arundel St
Suite 102
St. Paul, MN 55103-1931
Phone (651) 797-3866

Other names 1

  • United Medical Imaging PA Doing business as

National Provider Directory

National Provider Directory
Part of
Mai Spine Center

Locations

485 Arundel St
Ste 102
Saint Paul, MN 55103
Phone (651) 797-3866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1255563227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 ARUNDEL ST",
            "address_2": "SUITE 102",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551031931",
            "telephone_number": "651-797-3866",
            "fax_number": "651-207-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ARUNDEL ST",
            "address_2": "SUITE 102",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551031931",
            "telephone_number": "651-797-3866",
            "fax_number": "651-207-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAI SPINE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAI SPINE CENTER PA",
        "enumeration_date": "2009-08-10",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-227-9606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4848",
            "primary": true
        },
        {
            "code": "207RM1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Medical Imaging PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St. Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.