Spine Care Specialists, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01396 Issued in MN

Legal business name

SPINE CARE SPECIALISTS, P.A.

Practice address

7699 Highway 65 NE
Fridley, MN 55432-3525

Phone

(763) 780-4300

Fax

(763) 780-3789

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Wayne E Dahl, D.C.

Title

President

Phone

(763) 780-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• David Clinton Armold, D.C.

  • Chiropractor
  • Brooklyn Center, MN
  • NPI 1366584229
  NPD (past)
• Carol Langer

  • Physical Therapist
  • North Oaks, MN
  • NPI 1407966849
  NPD (past)
• Geoff Michael Rurik, DC

  • Chiropractor
  • Roseville, MN
  • NPI 1710140769
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1760745491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7699 HIGHWAY 65 NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323525",
            "telephone_number": "763-780-4300",
            "fax_number": "763-780-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7699 HIGHWAY 65 NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323525",
            "telephone_number": "763-780-4300",
            "fax_number": "763-780-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CARE SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-780-4300",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "01396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "01396",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perla Minerva Soto
• Soulful Solutions Inc
• Michael Thomas Sovell, PT
• Specialysts, Inc.
• Shaun Michael Sperr
• Jeffrey A Squires, M.D.
• Eva Ssentongo, DNP, FNP-BC
• Stable Living Services, LLC
• Nicole Staloch, NP
• Paul Francis Stannard, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.