NPIMap

Organization Active NPI

Specialty Care Group, LLC

  • Specialist
  • Minneapolis, MN
National Provider Identifier
1942524103
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SPECIALTY CARE GROUP, LLC
Practice address
2113 Girard Ave S Ste 2
Minneapolis, MN 55405-2547
Phone
(612) 925-5008
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Authorized official

Name
Danica Song Dobek
Title
Principal
Phone
(612) 925-5008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2113 Girard Ave S Ste 2
Minneapolis, MN 55405-2547

Mailing address

2113 Girard Ave. S.
Minneapolis, MN 55405-2547
Phone (612) 925-5008

National Provider Directory

National Provider Directory
Tax ID family
Specialty Care Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1942524103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 GIRARD AVE. S.",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052547",
            "telephone_number": "612-925-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 GIRARD AVE S STE 2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052547",
            "telephone_number": "612-925-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY CARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "DOBEK",
        "authorized_official_first_name": "DANICA",
        "authorized_official_middle_name": "SONG",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "612-925-5008"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.