Active NPI
Paul Henry Althoff
- Home Modifications Contractor
- Edina, MN
National Provider Identifier
1861624520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- NA
- Practice address
- 6016 Olinger Cir
Edina, MN 55436-1944 - Phone
- (612) 822-0756
- Fax
- (952) 922-5010
- NPI assigned
- Aug 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | NA | MN | Primary |
Addresses
Primary practice location
6016 Olinger Cir
Edina, MN 55436-1944
Mailing address
6016 Olinger Cir
Edina, MN 55436-1944
Phone (612) 822-0756
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125663 | Other | MN | UCARE |
| 109769 | Other | MN | HEALTH PARTNERS |
| 4990020 | Other | MN | MEDICA |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250121600000",
"number": "1861624520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6016 OLINGER CIR",
"city": "EDINA",
"state": "MN",
"postal_code": "554361944",
"telephone_number": "612-822-0756",
"fax_number": "952-922-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6016 OLINGER CIR",
"city": "EDINA",
"state": "MN",
"postal_code": "554361944",
"telephone_number": "612-822-0756",
"fax_number": "952-922-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTHOFF",
"first_name": "PAUL",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-13",
"last_updated": "2009-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "MN",
"license": "NA",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "125663",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "109769",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "4990020",
"state": "MN"
}
],
"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 Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.