NPIMap

Organization Active NPI

Red Clover Clinic Inc

Doing business as Red Clover Clinic

  • Acupuncturist
  • Roseville, MN
National Provider Identifier
1932403763
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1447 Issued in MN
Legal business name
RED CLOVER CLINIC INC
Doing business as
Red Clover Clinic
Practice address
2233 Hamline Ave N
Suite 433
Roseville, MN 55113-5005
Phone
(612) 308-3597
NPI assigned
Jan 10, 2011
Last updated
Aug 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Ms. Anita L Teigen, L.AC.NPI 1255632253
Title
Owner
Phone
(612) 308-3597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1447 MN Primary

Addresses

Primary practice location

2233 Hamline Ave N
Suite 433
Roseville, MN 55113-5005

Mailing address

2233 Hamline Ave N
Suite 433
Roseville, MN 55113-5005
Phone (612) 308-3597

Other names 1

  • Red Clover Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2233 Hamline Ave N
Ste 433
Roseville, MN 55113
Phone (612) 308-3597

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1932403763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 HAMLINE AVE N",
            "address_2": "SUITE 433",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135005",
            "telephone_number": "612-308-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 HAMLINE AVE N",
            "address_2": "SUITE 433",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135005",
            "telephone_number": "612-308-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CLOVER CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "TEIGEN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-308-3597",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Clover Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.