Individual provider Active NPI

Todd Michael Sands, DC

  • Chiropractor
  • Rochester, MN
National Provider Identifier
1962401661
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3017 Issued in MN
Practice address
2518 Superior Dr NW
Suite 101B
Rochester, MN 55901-1988
Phone
(507) 287-6041
Fax
(507) 287-6438
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3017 MN Primary
Chiropractor 111N00000X A5626 IA

Addresses

Primary practice location

2518 Superior Dr NW
Suite 101B
Rochester, MN 55901-1988

Mailing address

2518 Superior Dr NW
Suite 101B
Rochester, MN 55901-1988
Phone (507) 287-6041

Other identifiers 2

IdentifierTypeStateIssuer
4C491SAOtherMNBLUE CROSS BLUE SHIELD
977028300MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040218000567 MN Practitioner - Chiropractic 7911892963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2518 Superior Dr NW
Suite 101B
Rochester, MN 55901-1989
Phone (507) 287-6041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A5626IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Chiropractic PA CurrentSince Oct 1, 2008 Accepting new patients

Locations

2518 Superior Dr NW
Ste 101B
Rochester, MN 55901
Phone (507) 287-6041

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1962401661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 SUPERIOR DR NW",
            "address_2": "SUITE 101B",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011988",
            "telephone_number": "507-287-6041",
            "fax_number": "507-287-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 SUPERIOR DR NW",
            "address_2": "SUITE 101B",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011988",
            "telephone_number": "507-287-6041",
            "fax_number": "507-287-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDS",
        "first_name": "TODD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3017",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A5626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4C491SA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "977028300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.