Individual provider Active NPI

Michael Sandell

  • Driver
  • Sandstone, MN
National Provider Identifier
1609616309
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
G347034690214 Issued in MN
Practice address
606 Highway 123 W
Sandstone, MN 55072-5060
Phone
(320) 237-4227
NPI assigned
May 30, 2024
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

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

LicenseStateTypeSpecialty
G347034690214MNMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Attaboys, Inc CurrentSince Jun 2, 2024 Accepting new patients

Locations

606 Highway 123 W
Sandstone, MN 55072
Phone (320) 204-5535

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X G347034690214 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

606 Highway 123 W
Sandstone, MN 55072-5060

Mailing address

PO Box 26
Sandstone, MN 55072-0026
Phone (320) 245-5355

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2024.

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1609616309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550720026",
            "telephone_number": "320-245-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 HIGHWAY 123 W",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550725060",
            "telephone_number": "320-237-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDELL",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MN",
            "license": "G347034690214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandstone, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.