Organization Active NPI

Cadan

  • Customized Equipment (DME)
  • Eagan, MN
National Provider Identifier
1821410143
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
2144362 Issued in MN
Legal business name
CADAN
Practice address
4131 Old Sibley Memorial Hwy
Suite 200
Eagan, MN 55122-1947
Phone
(651) 456-5760
NPI assigned
Jan 7, 2014
Last updated
Jan 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Amy Perron
Title
At Consultant
Phone
(952) 278-0559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 2144362 MN Primary

Addresses

Primary practice location

4131 Old Sibley Memorial Hwy
Suite 200
Eagan, MN 55122-1947

Mailing address

4131 Old Sibley Memorial Hwy
Suite 200
Eagan, MN 55122-1947

Other identifiers 1

IdentifierTypeStateIssuer
332BC3200XMedicaidMN

National Provider Directory

National Provider Directory

Locations

4131 Old Sibley Memorial Hwy
Ste 200
Eagan, MN 55122
Phone (651) 456-5760

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1821410143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 OLD SIBLEY MEMORIAL HWY",
            "address_2": "SUITE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 OLD SIBLEY MEMORIAL HWY",
            "address_2": "SUITE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221947",
            "telephone_number": "651-456-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "PERRON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "AT CONSULTANT",
        "authorized_official_telephone_number": "952-278-0559"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MN",
            "license": "2144362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332BC3200X",
            "state": "MN"
        }
    ],
    "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 Jan 7, 2014; 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.