Active NPI
North Star Metabolic and Performance Clinic LLC
- Multi-Specialty Clinic/Center
- Edina, MN
National Provider Identifier
1821910134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- NORTH STAR METABOLIC AND PERFORMANCE CLINIC LLC
- Practice address
- 7300 France Ave S Ste 301
Edina, MN 55435-4505 - Phone
- (952) 800-3363
- NPI assigned
- Jul 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Louis Roach, MD
- Title
- Physician/Founder
- Phone
- (661) 703-3935
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
7300 France Ave S Ste 301
Edina, MN 55435-4505
Mailing address
16960 Valley Rd
Eden Prairie, MN 55347-2833
Phone (661) 703-3935
National Provider Directory
National Provider DirectoryLocations
7300 France Ave S
Ste 301
Edina, MN 55435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1821910134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16960 VALLEY RD",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553472833",
"telephone_number": "661-703-3935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 FRANCE AVE S STE 301",
"city": "EDINA",
"state": "MN",
"postal_code": "554354505",
"telephone_number": "952-800-3363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH STAR METABOLIC AND PERFORMANCE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-28",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "ROACH",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "PHYSICIAN/FOUNDER",
"authorized_official_telephone_number": "661-703-3935",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.