Active NPI
Sara Jean Cuperus, D.C.
- Sports Physician Chiropractor
- Sartell, MN
National Provider Identifier
1528064342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 4331
- Practice address
- 2380 Troop Drive
Suite 201
Sartell, MN 56377-4637 - Phone
- (320) 255-0961
- Fax
- (320) 258-4001
- NPI assigned
- Jun 27, 2005
- Last updated
- Jan 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 4331 | MN | Primary |
Addresses
Primary practice location
2380 Troop Drive
Suite 201
Sartell, MN 56377-4637
Mailing address
2380 Troop Drive
Suite 201
Sartell, MN 56377-4637
Phone (320) 255-0961
Other names 1
- Dr. Sara Jean Klein
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2380 Troop Dr
Unit 201
Sartell, MN 56377-4637
Phone (320) 255-0961
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4331 | MN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Performance Center, PA | Current | Accepting new patients |
Locations
2380 Troop Dr
Unit 201
Sartell, MN 56377
Phone (320) 255-0961
Organizations & group practices 1
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
- Sartell, MN
- NPI 1144429283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1528064342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2380 TROOP DRIVE",
"address_2": "SUITE 201",
"city": "SARTELL",
"state": "MN",
"postal_code": "563774637",
"telephone_number": "320-255-0961",
"fax_number": "320-258-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2380 TROOP DRIVE",
"address_2": "SUITE 201",
"city": "SARTELL",
"state": "MN",
"postal_code": "563774637",
"telephone_number": "320-255-0961",
"fax_number": "320-258-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUPERUS",
"first_name": "SARA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MN",
"license": "4331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "KLEIN",
"middle_name": "JEAN",
"prefix": "DR.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.