Sandra Lea Spore, RN DC DABCI DACBN

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2810 Issued in MN

Practice address

1530 W Frontage Rd
Valley Ridge Mall
Stillwater, MN 55082

Phone

(651) 439-1013

Fax

(651) 439-3465

NPI assigned

Jun 9, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Practice roles

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.

• Nielson Family Chiropractic PLLC

  • Chiropractor
  • St Louis Park, MN
  • NPI 1467736231
  NPD (past)
• Gregory W Bernard DC PA

  • Chiropractor
  • Ellsworth, WI
  • NPI 1245617687
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659312668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 W FRONTAGE RD",
            "address_2": "VALLEY RIDGE MALL",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "55082",
            "telephone_number": "651-439-1013",
            "fax_number": "651-439-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 W FRONTAGE RD",
            "address_2": "VALLEY RIDGE MALL",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "55082",
            "telephone_number": "651-439-1013",
            "fax_number": "651-439-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORE",
        "first_name": "SANDRA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "RN DC DABCI DACBN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southside Community Health Services, Inc.
• Steven Duane Spandl
• Spinal Care One, PA
• Spine and Sport Chiropractic
• Shelley L Spitzer, OTR
• St Croix Drug Company
• St Croix Oral, Maxillofacial & Implant Surgery, P.a.
• St Croix Vision Center Inc.
• Jennifer St Sauver
• St. Croix Dermatology, PA

• Chiropractor in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.