Individual provider Active NPI

Sarah Nguyen, D.C.

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1578009551
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6287 Issued in MN
Practice address
11751 W River Hills Dr
118D
Burnsville, MN 55337-7242
Phone
(952) 649-0429
NPI assigned
Jan 13, 2017
Last updated
Jan 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6287 MN Primary

Addresses

Primary practice location

11751 W River Hills Dr
118D
Burnsville, MN 55337-7242

Mailing address

11751 W River Hills Dr
118D
Burnsville, MN 55337-7242
Phone (952) 649-0429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170315001194 MN Practitioner - Chiropractic 2062797947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Advantage Life ChiropracticGroup PAC ID 6800171786, 2 clinicians

Practice addresses (Care Compare)

7832 Cahill Ave
Inver Grove Heights, MN 55076-3007
Phone (651) 263-3056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6287MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Life Chiropractic Chiropractor CurrentSince Apr 1, 2017 Accepting new patients

Locations

7832 Cahill Ave
Inver Grove Heights, MN 55076
Phone (651) 263-3056

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1578009551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 W RIVER HILLS DR",
            "address_2": "118D",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377242",
            "telephone_number": "952-649-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 W RIVER HILLS DR",
            "address_2": "118D",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377242",
            "telephone_number": "952-649-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.