Alyssa Joy Saterdalen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4546 Issued in MN

Practice address

1660 Highway 100 S Ste 500
St Louis Park, MN 55416-1551

Phone

(952) 697-4044

NPI assigned

Jul 18, 2006

Last updated

Aug 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Tree Chiropractic Clinic

  • Chiropractor
  • St Louis Park, MN
  • NPI 1497774640
  Authorized official Same address or phone

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1437177250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S STE 500",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161551",
            "telephone_number": "952-697-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S STE 500",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161551",
            "telephone_number": "952-697-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATERDALEN",
        "first_name": "ALYSSA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "979T8GO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN PROVIDER",
            "identifier": "665914",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530008000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan A Sandvik, PT
• Mark R Sannes V
• Sarah a. Bittell D.C. P. a.
• Heideh Sarfehjoo, D.O.
• Leslie A Sater, LICSW
• Jay Sather, MD
• Neeraj Sathnur, M.D,
• Marissa Ann Satovich-Hendricks
• Daniel Satran, M.D.
• Natasha Kaslow Satre, MSW, LICSW

• Chiropractor in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.