Active NPI
Spine and Sport Health Center P.a.
- Chiropractor
- Savage, MN
National Provider Identifier
1508324260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SPINE AND SPORT HEALTH CENTER P.A.
- Practice address
- 4203 Highway 13 W
Savage, MN 55378-1569 - Phone
- (952) 895-1600
- Fax
- (952) 895-1710
- NPI assigned
- Mar 12, 2019
- Organization subpart
- Yes
- Parent organization
- SPINE AND SPORT HEALTH P.A.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Trent Stromme, DC
- Title
- Owner/Chiropractic
- Phone
- (952) 895-1600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
4203 Highway 13 W
Savage, MN 55378-1569
Mailing address
4203 Highway 13 W
Savage, MN 55378-1569
Phone (952) 895-1600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396272548 | Medicaid | MN | |
| 1093107690 | Medicaid | MN |
Other names 1
- Spine and Sport Health
National Provider Directory
National Provider Directory- Part of
- Spine and Sport Health Center PA
Locations
4203 Highway 13 W
Savage, MN 55378
Phone (952) 895-1600
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Bloomington, MN
- NPI 1093107690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552348800000",
"number": "1508324260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4203 HIGHWAY 13 W",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553781569",
"telephone_number": "952-895-1600",
"fax_number": "952-895-1710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4203 HIGHWAY 13 W",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553781569",
"telephone_number": "952-895-1600",
"fax_number": "952-895-1710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE AND SPORT HEALTH CENTER P.A.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPINE AND SPORT HEALTH P.A.",
"enumeration_date": "2019-03-12",
"last_updated": "2019-03-12",
"status": "A",
"authorized_official_last_name": "STROMME",
"authorized_official_first_name": "TRENT",
"authorized_official_title_or_position": "OWNER/CHIROPRACTIC",
"authorized_official_telephone_number": "952-895-1600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396272548",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093107690",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Spine and Sport Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Savage, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.