Active NPI
Josh James Sandell, D.C.
- Sports Physician Chiropractor
- Maple Grove, MN
National Provider Identifier
1912050220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 4196
- Practice address
- 7372 Kirkwood CT
Maple Grove, MN 55369-5202 - Phone
- (763) 315-0466
- Fax
- (763) 315-0884
- NPI assigned
- Jan 19, 2007
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 4196 | MN | Primary |
Addresses
Primary practice location
7372 Kirkwood CT
Maple Grove, MN 55369-5202
Mailing address
11463 76TH CT
Albertville, MN 55301-4525
Phone (763) 315-0466
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912050220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11463 76TH CT",
"city": "ALBERTVILLE",
"state": "MN",
"postal_code": "553014525",
"telephone_number": "763-315-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7372 KIRKWOOD CT",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553695202",
"telephone_number": "763-315-0466",
"fax_number": "763-315-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDELL",
"first_name": "JOSH",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MN",
"license": "4196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.