Organization Active NPI

Better Spine Health 360

Doing business as Minnesota Spine Institute

  • Orthopaedic Surgery of the Spine Physician
  • Roseville, MN
National Provider Identifier
1487173563
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
BETTER SPINE HEALTH 360
Doing business as
Minnesota Spine Institute
Practice address
2780 Snelling Ave N Ste 310
Roseville, MN 55113-7125
Phone
(612) 670-4971
Fax
(612) 440-2178
NPI assigned
Sep 11, 2017
Last updated
Feb 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Dr. Daniel Wells Hanson, MDNPI 1881690493
Title
President
Phone
(612) 670-4971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X Primary

Addresses

Primary practice location

2780 Snelling Ave N Ste 310
Roseville, MN 55113-7125

Mailing address

PO Box 430
Isanti, MN 55040-0430
Phone (612) 670-4971

Other names 1

  • Minnesota Spine Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171030003286 MN Part B Supplier - Clinic/Group Practice 8325314784 Receives reassigned benefits from 1 practitioner
Practice locations: Roseville, MN

National Provider Directory

National Provider Directory

Locations

14643 Mercantile Dr N
Ste 110
Hugo, MN 55038
Phone (612) 666-2557

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1487173563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550400430",
            "telephone_number": "612-670-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 SNELLING AVE N STE 310",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137125",
            "telephone_number": "612-670-4971",
            "fax_number": "612-440-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTER SPINE HEALTH 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WELLS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-670-4971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnesota Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.