Twin Cities Spine & Sports, LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

5856 Issued in MN

Legal business name

TWIN CITIES SPINE & SPORTS, LLC

Practice address

4510 W 77TH St
Suite 222
Edina, MN 55435-5505

Phone

(612) 520-1823

NPI assigned

Apr 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Clare, DC

Title

Owner

Phone

(612) 520-1823

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1902293202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 W 77TH ST",
            "address_2": "SUITE 222",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 W 77TH ST",
            "address_2": "SUITE 222",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355505",
            "telephone_number": "612-520-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES SPINE & SPORTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "CLARE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-520-1823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "5856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twin Cities Behavioral Health, PC
• Twin Cities Cardiology
• Twin Cities Cognitive Behavioral Treatment Center, LLC
• Twin Cities Pain Clinic Transportation, Inc.
• Twin Cities Pain Management, PLLC
• Twin Cities Surgery Center, PA
• Twincities Therapy Center Inc
• Jonathan Oliver Twomey, D.D.S.
• Tyler Institute
• Nichkamon Udomlarp

• Sports Physician Chiropractor in Edina, MN
• Providers in Edina, MN by specialty
• Sports Physician Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.