Organization Active NPI

Demuth Spinal Care & Concussion Center

  • Chiropractor
  • Sartell, MN
National Provider Identifier
1346864311
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DEMUTH SPINAL CARE & CONCUSSION CENTER
Practice address
71 County Road 120 Ste 300
Sartell, MN 56303-4924
Phone
(515) 441-4876
NPI assigned
Jun 4, 2020
Last updated
Jun 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Dr. Uvini Amanthi Demuth, DCNPI 1083152078
Title
Ceo
Phone
(515) 441-4876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

71 County Road 120 Ste 300
Sartell, MN 56303-4924

Mailing address

1410 Timberdoodle Dr
Saint Cloud, MN 56303-4597
Phone (515) 441-4876

National Provider Directory

National Provider Directory

Locations

71 County Road 120
Ste 300
Sartell, MN 56303
Phone (320) 281-3177

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1346864311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 TIMBERDOODLE DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034597",
            "telephone_number": "515-441-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 COUNTY ROAD 120 STE 300",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563034924",
            "telephone_number": "515-441-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMUTH SPINAL CARE & CONCUSSION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "DEMUTH",
        "authorized_official_first_name": "UVINI",
        "authorized_official_middle_name": "AMANTHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-441-4876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.