Organization Active NPI

Doctors by Your Side

Doing business as TruHeal

  • Internal Medicine Physician
  • Richfield, MN
National Provider Identifier
1427352087
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39791 Issued in MN
Legal business name
DOCTORS BY YOUR SIDE
Doing business as
TruHeal
Practice address
6600 Lyndale Av S
#120
Richfield, MN 55423-3398
Phone
(612) 798-7688
Fax
(612) 869-3473
NPI assigned
Dec 22, 2010
Organization subpart
Yes
Parent organization
DOCTORS BY YOUR SIDE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Bryan H Mohr, DPM
Title
Ceo-Owner
Phone
(612) 200-8028

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 39791 MN Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 631 MN
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 303 MN

Addresses

Primary practice location

6600 Lyndale Av S
#120
Richfield, MN 55423-3398

Mailing address

6600 Lyndale Av S
#120
Richfield, MN 55423-3398
Phone (612) 798-7688

Other names 1

  • TruHeal Doing business as

National Provider Directory

National Provider Directory
Part of
Doctors by Your Side Inc

Locations

6600 Lyndale Ave S
Ste 120
Richfield, MN 55423
Phone (612) 446-5006

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": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1427352087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 LYNDALE AV S",
            "address_2": "#120",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554233398",
            "telephone_number": "612-798-7688",
            "fax_number": "612-869-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 LYNDALE AV S",
            "address_2": "#120",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554233398",
            "telephone_number": "612-798-7688",
            "fax_number": "612-869-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS BY YOUR SIDE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTORS BY YOUR SIDE INC",
        "enumeration_date": "2010-12-22",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "MOHR",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO-OWNER",
        "authorized_official_telephone_number": "612-200-8028",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "39791",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "631",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TruHeal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.