NPIMap

Organization Active NPI

Sweere Clinic LLC

  • Clinic/Center
  • Bloomington, MN
National Provider Identifier
1942778097
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SWEERE CLINIC LLC
Practice address
2501 W 84TH St
Bloomington, MN 55431-1602
Phone
(952) 885-5444
NPI assigned
Nov 7, 2018
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWESTERN HEALTH SCIENCES UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Michael R Tennison, MBA
Title
VP of Clinics and Retail
Phone
(952) 885-5441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2501 W 84TH St
Bloomington, MN 55431-1602

Mailing address

2501 W 84TH St
Bloomington, MN 55431-1602
Phone (952) 885-5444

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Bloomington
CONNECT URL Bloomington

National Provider Directory

National Provider Directory
Tax ID family
Nwco Clinic2 organizations share this tax ID, including this one
Part of
Nwco Clinic

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 94

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.

View all 94

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1942778097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W 84TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311602",
            "telephone_number": "952-885-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 84TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311602",
            "telephone_number": "952-885-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEERE CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWESTERN HEALTH SCIENCES UNIVERSITY",
        "enumeration_date": "2018-11-07",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "TENNISON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP OF CLINICS AND RETAIL",
        "authorized_official_telephone_number": "952-885-5441",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bloomington",
            "affiliation": "N",
            "address_1": "2501 W 84th St",
            "city": "Bloomington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554311602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bloomington",
            "affiliation": "N",
            "address_1": "2501 W 84th St",
            "city": "Bloomington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554311602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.