Organization Active NPI

Interventional Spine and Pain Physicians, PA

  • Specialist
  • Maple Grove, MN
National Provider Identifier
1326398561
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
Practice address
9645 Grove Cir N Ste 200
Maple Grove, MN 55369
Phone
(763) 201-8191
Fax
(763) 201-8192
NPI assigned
Sep 14, 2012
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Sarah Klaphake
Title
Coo
Phone
(763) 201-8191

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Physical Medicine & Rehabilitation Physician 208100000X NU
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X NU
Interventional Pain Medicine Physician 208VP0014X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

9645 Grove Cir N Ste 200
Maple Grove, MN 55369

Mailing address

9645 Grove Cir N Ste 200
Maple Grove, MN 55369-4466
Phone (763) 201-8191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130201000353 MN Part B Supplier - Clinic/Group Practice 2466606264 Receives reassigned benefits from 49 practitioners
Practice locations: Waconia, MN; Shakopee, MN; Maplewood, MN; Maple Grove, MN; Delano, MN; Edina, MN; Coon Rapids, MN; Chaska, MN…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2055055Interventional Spine and Pain Physicians, PA9645 Grove Circle N Suite 200, Maple Grove, MN 55369Certificate of waiverApr 17, 2027

National Provider Directory

National Provider Directory

Locations

2800 County Road 42 W
Ste 100
Burnsville, MN 55337

7700 France Ave S
Ste 260
Edina, MN 55435

7767 Elm Creek Blvd N
Ste 207
Maple Grove, MN 55369

1856 Beam Ave
#100
Maplewood, MN 55109

Practitioners & affiliated clinicians

Practitioners 106

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 106

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1326398561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 GROVE CIR N STE 200",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694466",
            "telephone_number": "763-201-8191",
            "fax_number": "763-201-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 GROVE CIR N STE 200",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55369",
            "telephone_number": "763-201-8191",
            "fax_number": "763-201-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "KLAPHAKE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "763-201-8191"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.