Active NPI
Daniel Peter Sipple, DO
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 53652
- Practice address
- 7373 France Ave S Ste 408
Edina, MN 55435-4549 - Phone
- (651) 430-3800
- Fax
- (651) 430-3827
- NPI assigned
- May 9, 2007
- Last updated
- Mar 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 46488 | CO | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 54993-021 | WI | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 46488 | CO | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 53652 | MN | Primary |
Addresses
Primary practice location
7373 France Ave S Ste 408
Edina, MN 55435-4549
Mailing address
1950 Northwestern Ave
Suite 102
Stillwater, MN 55082-7615
Phone (651) 430-3800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dsipple178335@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46488 | CO | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| 54993-021 | WI | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Pain Clinic of Northwestern Wisconsin SC | Past | Accepting new patients |
Locations
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Pediatric Rehabilitation Medicine Physician
- Woodbury, MN
- NPI 1700235587
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Emergency Medical Services
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Interventional Pain Medicine Physician
- Eau Claire, WI
- NPI 1609844000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1699989731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 NORTHWESTERN AVE",
"address_2": "SUITE 102",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550827615",
"telephone_number": "651-430-3800",
"fax_number": "651-430-3827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7373 FRANCE AVE S STE 408",
"city": "EDINA",
"state": "MN",
"postal_code": "554354549",
"telephone_number": "651-430-3800",
"fax_number": "651-430-3827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPPLE",
"first_name": "DANIEL",
"middle_name": "PETER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "46488",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "WI",
"license": "54993-021",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CO",
"license": "46488",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MN",
"license": "53652",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dsipple178335@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "7373 France Ave S Ste 408",
"city": "Edina",
"state": "MN",
"country_code": "US",
"postal_code": "554354549",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.