Individual provider Active NPI

John Galin Sandness, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • St Louis Park, MN
National Provider Identifier
1518929652
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
28205 Issued in MN
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
28205MNMDPreventive Medicine/Occupational Environmental Medicine Physician
25802WIMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.