Active NPI
John Galin Sandness, M.D.
- Preventive Medicine/Occupational Environmental Medicine Physician
- St Louis Park, MN
National Provider Identifier
1518929652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 28205
- Practice address
- 3601 Park Center Blvd
Suite 311
St Louis Park, MN 55416-2531 - Phone
- (952) 922-2012
- NPI assigned
- Apr 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 28205 | MN | Primary |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 25802 | WI |
Addresses
Primary practice location
3601 Park Center Blvd
Suite 311
St Louis Park, MN 55416-2531
Mailing address
3601 Park Center Blvd
Suite 311
St Louis Park, MN 55416-2531
Phone (952) 922-2012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 8, 2014 through Apr 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28205 | MN | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| 25802 | WI | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical and Occupational Medicine Associates, PA | Past | Accepting new patients | |
| Edina Physical Medicine Consultants, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- St Louis Park, MN
- NPI 1023070554
-
- Physical Medicine & Rehabilitation Physician
- Bloomington, MN
- NPI 1285967315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518929652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 PARK CENTER BLVD",
"address_2": "SUITE 311",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162531",
"telephone_number": "952-922-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 PARK CENTER BLVD",
"address_2": "SUITE 311",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162531",
"telephone_number": "952-922-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDNESS",
"first_name": "JOHN",
"middle_name": "GALIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "MN",
"license": "28205",
"primary": true
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "WI",
"license": "25802",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.