Active NPI
Ronald Jay Sass, DC
- Chiropractor
- White Bear Lake, MN
National Provider Identifier
1861527988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2907
- Practice address
- 1310 Highway 96 E Ste 118
White Bear Lake, MN 55110-3607 - Phone
- (651) 429-0640
- Fax
- (651) 426-1329
- NPI assigned
- Feb 22, 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 | 2907 | MN | Primary |
Addresses
Primary practice location
1310 Highway 96 E Ste 118
White Bear Lake, MN 55110-3607
Mailing address
2677 Arbor Dr
White Bear Lake, MN 55110-3907
Phone (651) 770-3473
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 |
|---|---|---|---|
| 2907 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin M Quaas Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1861527988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2677 ARBOR DR",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103907",
"telephone_number": "651-770-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 HIGHWAY 96 E STE 118",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103607",
"telephone_number": "651-429-0640",
"fax_number": "651-426-1329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASS",
"first_name": "RONALD",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Bear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.