Active NPI
Dean Clarence Saunders
- Chiropractor
- Plymouth, MN
National Provider Identifier
1851589477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3304
- Practice address
- 3169 Fernbrook LN N
Plymouth, MN 55447-5357 - Phone
- (763) 201-1284
- Fax
- (763) 201-1285
- NPI assigned
- Oct 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3304 | MN | Primary |
Addresses
Primary practice location
3169 Fernbrook LN N
Plymouth, MN 55447-5357
Mailing address
3169 Fernbrook LN N
Plymouth, MN 55447-5357
Phone (763) 201-1284
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3304 | MN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1851589477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3169 FERNBROOK LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554475357",
"telephone_number": "763-201-1284",
"fax_number": "763-201-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3169 FERNBROOK LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554475357",
"telephone_number": "763-201-1284",
"fax_number": "763-201-1285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNDERS",
"first_name": "DEAN",
"middle_name": "CLARENCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-09",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.