Organization Active NPI

Active Mobility Practitioner PA

  • Chiropractor
  • Chanhassen, MN
National Provider Identifier
1639528508
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ACTIVE MOBILITY PRACTITIONER PA
Practice address
7800 Market Blvd
Chanhassen, MN 55317-9440
Phone
(952) 934-4500
Fax
(651) 412-5063
NPI assigned
Jun 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Dr. Rohin Sachdeva, DCNPI 1427459528
Title
Ceo/ Chiropractor
Phone
(952) 934-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 5961 MN

Addresses

Primary practice location

7800 Market Blvd
Chanhassen, MN 55317-9440

Mailing address

7800 Market Blvd
Chanhassen, MN 55317-9440
Phone (952) 934-4500

Other identifiers 1

IdentifierTypeStateIssuer
1639528508OtherMNPRACTICE NPI

Other names 1

  • Chanhassen Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Jane.app

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170227002434 MN Part B Supplier - Clinic/Group Practice 5890079404 Receives reassigned benefits from 2 practitioners
Practice locations: Chanhassen, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1639528508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 MARKET BLVD",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179440",
            "telephone_number": "952-934-4500",
            "fax_number": "651-412-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 MARKET BLVD",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179440",
            "telephone_number": "952-934-4500",
            "fax_number": "651-412-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE MOBILITY PRACTITIONER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "SACHDEVA",
        "authorized_official_first_name": "ROHIN",
        "authorized_official_title_or_position": "CEO/ CHIROPRACTOR",
        "authorized_official_telephone_number": "952-934-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "5961",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE NPI",
            "identifier": "1639528508",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jane.app",
            "affiliation": "N",
            "address_1": "7800 Market Blvd",
            "city": "Chanhassen",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553179440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Chanhassen Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.