Adam Jacob Sagedahl, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4501 Issued in MN

Practice address

33 10TH Ave S Ste 260
Hopkins, MN 55343-1308

Phone

(612) 655-3073

NPI assigned

Jan 25, 2007

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Clinic, P.a.Group PAC ID 5799934857, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Life Clinic, P.a.

  • Rehabilitation Chiropractor
  • St Louis Park, MN
  • NPI 1023296167
  Medicare reassignment Care Compare group NPD
• Lifeclinic PA

  • Rehabilitation Chiropractor
  • St Louis Park, MN
  • NPI 1922416064
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1477609527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 10TH AVE S STE 260",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553431308",
            "telephone_number": "612-655-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 10TH AVE S STE 260",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553431308",
            "telephone_number": "612-655-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGEDAHL",
        "first_name": "ADAM",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "741143000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Rueckl-Jones, L.P.
• Emily Jerono Rugut, CEO
• Charlie Rygh-Wallin
• Donna Jean Saewert, PTA
• Safi Care Transportation
• Alia Said
• Fardowso Ahmed Salah
• Nicole Sandberg
• Sireh Sanneh
• Amanda Schultz

• Chiropractor in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.