Organization Active NPI

Sazama Family Chiropractic & Wellness PA

  • Chiropractor
  • Baxter, MN
National Provider Identifier
1356631329
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SAZAMA FAMILY CHIROPRACTIC & WELLNESS PA
Practice address
7111 Forthun Rd Ste 200
Baxter, MN 56425-8596
Phone
(218) 454-4545
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Dr. Seth A Sazama, DCNPI 1306144381
Title
Board of Directors
Phone
(308) 750-4891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7111 Forthun Rd Ste 200
Baxter, MN 56425-8596

Mailing address

5638 Rush Lake CT
Baxter, MN 56425-8716

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110620000346 MN Part B Supplier - Clinic/Group Practice 2062690167 Receives reassigned benefits from 2 practitioners
Practice locations: Baxter, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1356631329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5638 RUSH LAKE CT",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 FORTHUN RD STE 200",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258596",
            "telephone_number": "218-454-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAZAMA FAMILY CHIROPRACTIC & WELLNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "SAZAMA",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "308-750-4891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.