Individual provider Active NPI

Danielle Sadler, L.AC., DIPL. O.M.

  • Acupuncturist
  • Eagan, MN
National Provider Identifier
1790140051
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
A-94 Issued in IA
Practice address
3440 Federal Dr
Eagan, MN 55122-3501
Phone
(651) 338-3574
NPI assigned
Dec 30, 2015
Last updated
Sep 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1851 MN
Acupuncturist 171100000X A-94 IA Primary

Addresses

Primary practice location

3440 Federal Dr
Eagan, MN 55122-3501

Mailing address

155 W 96TH St Apt 3K
Bloomington, MN 55420-4350
Phone (641) 821-0668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1851MNMDMental Health Counselor
A-94IAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1790140051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W 96TH ST APT 3K",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204350",
            "telephone_number": "641-821-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 FEDERAL DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223501",
            "telephone_number": "651-338-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLER",
        "first_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "L.AC., DIPL. O.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1851",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IA",
            "license": "A-94",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.