Active NPI
Trista Elizabeth Spolarich, DC
- Chiropractor
- Plymouth, MN
National Provider Identifier
1528318474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5702
- Practice address
- 3900 Vinewood LN N
Plymouth, MN 55441-1155 - Phone
- (763) 559-9236
- NPI assigned
- Sep 18, 2012
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5702 | MN | Primary |
Addresses
Primary practice location
3900 Vinewood LN N
Plymouth, MN 55441-1155
Mailing address
2920 Dean Pkwy
Apt 311
Minneapolis, MN 55416-4455
Phone (218) 851-2499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5702 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1528318474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 DEAN PKWY",
"address_2": "APT 311",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554164455",
"telephone_number": "218-851-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 VINEWOOD LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554411155",
"telephone_number": "763-559-9236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOLARICH",
"first_name": "TRISTA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.