Sara Jean Cuperus, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

4331 Issued in MN

Practice address

2380 Troop Drive
Suite 201
Sartell, MN 56377-4637

Phone

(320) 255-0961

Fax

(320) 258-4001

NPI assigned

Jun 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Dr. Sara Jean Klein Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiropractic Performance Center, PAGroup PAC ID 2860435633, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chiropractic Performance Center, PA

  • Medical Specialty Clinic/Center
  • Sartell, MN
  • NPI 1144429283

  MN

  Medicare reassignment Care Compare group NPD Authorized official

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC PROVIDER #",
            "identifier": "331J2CH",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CLINIC ID",
            "identifier": "C03940",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "332J9KL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350056798",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN HEALTH CARE PROGRAMS",
            "identifier": "777641100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "KLEIN",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danyel Kateland Cox-Tysk
• Abigail Coyle
• Katelyn Elizabeth Cullen
• Michael James Cumming, MD,MBA
• Charles T Cunningham, M.D.
• Nicole Daniel, PMHNP-BC
• Nathan B Danielson, D.O.
• Steven Danielson, M.D.
• Jonah Connor Darnall
• Kathryn Rose Davidson-Paton

• All providers in Sartell, MN
• Sports Physician Chiropractor in Minnesota

• 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.

Verify at the official NPI Registry.