North Suburban Healthcare PA

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

2478 Issued in MN

Legal business name

NORTH SUBURBAN HEALTHCARE PA

Practice address

8171 University Ave NE
Fridley, MN 55432-1865

Phone

(763) 754-2573

Fax

(763) 754-0128

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Richard Ray Tollefson, DCNPI 1700899168

Title

Owner

Phone

(763) 754-2573

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Richard Ray Tollefson, D.C.

  • Chiropractor
  • Andover, MN
  • NPI 1700899168
  NPD (past) Authorized official
• Ted H Harrison Sr., D.C.

  • Orthopedic Chiropractor
  • Spring Lake Park, MN
  • NPI 1740346816
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1760651038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8171 UNIVERSITY AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554321865",
            "telephone_number": "763-754-2573",
            "fax_number": "763-754-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8171 UNIVERSITY AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554321865",
            "telephone_number": "763-754-2573",
            "fax_number": "763-754-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN HEALTHCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "TOLLEFSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-754-2573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MN",
            "license": "2478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asma A Noor
• Amy Nord, MSW, LICSW
• Randall John Norgard, MD
• North Home Health Care (North Home Health Care LLC)
• North Metro Spinecare Specialists
• Northern Orthodontics
• Northern Orthodontics
• Northwest Open Arm Mental Health
• Novacare Outpatient Rehabiliation East Inc (NovaCare Rehabilitation)
• Novacare Outpatient Rehabilitation East Inc (NovaCare Rehabilitation)

• Multi-Specialty Clinic/Center in Fridley, MN
• Providers in Fridley, MN by specialty
• Multi-Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.