Organization Active NPI

Spring Gate Health, LLC

  • Chiropractor
  • Golden Valley, MN
National Provider Identifier
1356684039
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5264 Issued in MN
Legal business name
SPRING GATE HEALTH, LLC
Practice address
5851 Duluth St Ste 115
Golden Valley, MN 55422-3955
Phone
(952) 393-1876
Fax
(952) 223-1134
NPI assigned
Apr 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Crystal Pfisterer, D.CC
Title
Owner
Phone
(952) 484-2176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5264 MN Primary

Addresses

Primary practice location

5851 Duluth St Ste 115
Golden Valley, MN 55422-3955

Mailing address

5851 Duluth St Ste 115
Golden Valley, MN 55422-3955
Phone (952) 393-1876

National Provider Directory

National Provider Directory

Locations

5851 Duluth St
Ste 115
Golden Valley, MN 55422
Phone (763) 543-6971

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1356684039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 DULUTH ST STE 115",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223955",
            "telephone_number": "952-393-1876",
            "fax_number": "952-223-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 DULUTH ST STE 115",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223955",
            "telephone_number": "952-393-1876",
            "fax_number": "952-223-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING GATE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "PFISTERER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-484-2176",
        "authorized_official_credential": "D.CC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.