Active NPI
Med Cell Regenerate
- Multi-Specialty Clinic/Center
- Maple Grove, MN
National Provider Identifier
1356956163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- MED CELL REGENERATE
- Doing business as
- Med Cell Regenerate, LLC
- Practice address
- 7373 Kirkwood CT N Ste 110
Maple Grove, MN 55369-5211 - Phone
- (763) 898-3517
- NPI assigned
- Sep 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristine Williams
- Title
- Cfo
- Phone
- (763) 898-3517
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
7373 Kirkwood CT N Ste 110
Maple Grove, MN 55369-5211
Mailing address
7373 Kirkwood CT N Ste 110
Maple Grove, MN 55369-5211
Phone (763) 898-3517
Other names 1
- Med Cell Regenerate, LLC
National Provider Directory
National Provider DirectoryLocations
7373 Kirkwood Ct N
Ste 110
Maple Grove, MN 55369
Phone (763) 898-3517
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Harrison, AR
- NPI 1457478174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632873600000",
"number": "1356956163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7373 KIRKWOOD CT N STE 110",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553695211",
"telephone_number": "763-898-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7373 KIRKWOOD CT N STE 110",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553695211",
"telephone_number": "763-898-3517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED CELL REGENERATE",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-09",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KRISTINE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "763-898-3517"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Med Cell Regenerate, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.