Organization Active NPI

Stillpoint Osteopathic, LTD.

  • Clinic/Center
  • Saint Louis Park, MN
National Provider Identifier
1821247610
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
STILLPOINT OSTEOPATHIC, LTD.
Practice address
3601 Park Center Blvd Ste 308
Saint Louis Park, MN 55416-2525
Phone
(952) 920-0846
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Dr. Scott R Corbett, D.O.NPI 1760564108
Title
President
Phone
(952) 920-0846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3601 Park Center Blvd Ste 308
Saint Louis Park, MN 55416-2525

Mailing address

3601 Park Center Blvd Ste 308
Saint Louis Park, MN 55416-2525
Phone (952) 920-0846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100518000856 MN Part B Supplier - Clinic/Group Practice 1153450887 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomington, MN

National Provider Directory

National Provider Directory

Locations

8120 Penn Ave S
Ste 440
Minneapolis, MN 55431
Phone (952) 920-0844

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1821247610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 PARK CENTER BLVD STE 308",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162525",
            "telephone_number": "952-920-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 PARK CENTER BLVD STE 308",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162525",
            "telephone_number": "952-920-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLPOINT OSTEOPATHIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-920-0846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.