Spine & Sports Institute

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

4196 Issued in MN

Legal business name

SPINE & SPORTS INSTITUTE

Practice address

9325 Upland Lane N
Suite 230
Maple Grove, MN 55369-4450

Phone

(763) 315-0466

Fax

(763) 315-0884

NPI assigned

Jun 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua James Sandell, D.C

Title

President

Phone

(763) 315-0466

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316143936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LANE N",
            "address_2": "SUITE 230",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694450",
            "telephone_number": "763-315-0466",
            "fax_number": "763-315-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LANE N",
            "address_2": "SUITE 230",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694450",
            "telephone_number": "763-315-0466",
            "fax_number": "763-315-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SPORTS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDELL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-315-0466",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "4196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Todd Sparks, D.C.
• Specialists in General Surgery, LTD (Specialists in General Surgery)
• Specialists in General Surgery, LTD
• Speech and Language Connections, LLC (Speech and Language Connections)
• Gabriel Sperl
• Spine and Sports Insitute, LLC
• St Croix Hospice LLC (St Croix Hospice)
• Meredith Stallone
• Clair Elizabeth Stangle
• Alison Marie Stanley

• Sports Physician Chiropractor in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Sports Physician Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.