Individual provider Active NPI

Sadie Marie Thorson, DC

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1336344001
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034776 Issued in WA
Practice address
2115 County Road D E Ste B
Saint Paul, MN 55109-5353
Phone
(651) 955-1083
NPI assigned
Jun 20, 2007
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034776 WA Primary

Addresses

Primary practice location

2115 County Road D E Ste B
Saint Paul, MN 55109-5353

Mailing address

3633 Windtree Dr
Eagan, MN 55123-1319
Phone (651) 955-1083

Other identifiers 4

IdentifierTypeStateIssuer
000010162929OtherWAREGENCE BS OF IDAHO
8944683OtherWACRIME VICTIMS OF WA
0222349OtherWAWASHINGTON L&I
7310RAOtherWAASURIS NW (BS OF WA)

Other names 1

  • Sadie Marie Rausenberger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Family Chiropractic, LLC Chiropractor Past Accepting new patients
Spinal & Sports Care Clinic P S Chiropractor PastSince Aug 1, 1999 Accepting new patients
Healthways Chiropractic and Integrated Wellness Center Chiropractor Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1336344001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 WINDTREE DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231319",
            "telephone_number": "651-955-1083",
            "fax_number": "651-955-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 COUNTY ROAD D E STE B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551095353",
            "telephone_number": "651-955-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSON",
        "first_name": "SADIE",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS OF IDAHO",
            "identifier": "000010162929",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS OF WA",
            "identifier": "8944683",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON L&I",
            "identifier": "0222349",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS NW (BS OF WA)",
            "identifier": "7310RA",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SADIE",
            "last_name": "RAUSENBERGER",
            "middle_name": "MARIE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 29, 2022; 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.