Organization Active NPI

Lumberjack Technologies Inc.

  • Contractor
  • Edina, MN
National Provider Identifier
1760166573
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
LUMBERJACK TECHNOLOGIES INC.
Practice address
7301 Ohms LN Ste 150
Edina, MN 55439-2325
Phone
(612) 567-0941
NPI assigned
Jun 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Jack Jorgensen
Title
Ceo
Phone
(612) 567-0941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

7301 Ohms LN Ste 150
Edina, MN 55439-2325

Mailing address

7301 Ohms LN Ste 150
Edina, MN 55439-2325
Phone (612) 567-0941

National Provider Directory

National Provider Directory

Locations

7301 Ohms Ln
Ste 150
Edina, MN 55439
Phone (612) 567-0941

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1760166573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 OHMS LN STE 150",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392325",
            "telephone_number": "612-567-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 OHMS LN STE 150",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392325",
            "telephone_number": "612-567-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMBERJACK TECHNOLOGIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-567-0941"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 12, 2023; 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.