Organization Active NPI

IHS East Saint Paul

  • Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1326317694
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IHS EAST SAINT PAUL
Practice address
951 Payne Ave
Saint Paul, MN 55130-4003
Phone
(651) 774-7014
Fax
(651) 774-7016
NPI assigned
Dec 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Kevin James Schneider, D.C
Title
Managing Employee
Phone
(651) 774-7014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

951 Payne Ave
Saint Paul, MN 55130-4003

Mailing address

951 Payne Ave
Saint Paul, MN 55130-4003
Phone (651) 774-7014

National Provider Directory

National Provider Directory

Locations

951 Payne Ave
Saint Paul, MN 55130
Phone (651) 774-7014

Practitioners & affiliated clinicians

Practitioners 4

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": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1326317694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 PAYNE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304003",
            "telephone_number": "651-774-7014",
            "fax_number": "651-774-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 PAYNE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304003",
            "telephone_number": "651-774-7014",
            "fax_number": "651-774-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHS EAST SAINT PAUL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "651-774-7014",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.