Individual provider Active NPI

Michael M Svensson, D.C.

  • Chiropractor
  • Sartell, MN
National Provider Identifier
1962542126
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3080 Issued in MN
Practice address
50 14TH Ave E
Sartell, MN 56377-4651
Phone
(320) 202-5991
Fax
(320) 203-1272
NPI assigned
Feb 7, 2007
Last updated
Mar 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3080 MN Primary

Addresses

Primary practice location

50 14TH Ave E
Sartell, MN 56377-4651

Mailing address

50 14TH Ave E
Sartell, MN 56377-4651
Phone (320) 202-5991

Other identifiers 1

IdentifierTypeStateIssuer
819A9SVOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000041 MN Practitioner - Chiropractic 4981690906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

50 14TH Ave E
Suite 112
Sartell, MN 56377-4653
Phone (320) 202-5991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3080MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Chiropractic Chiropractor CurrentSince Jan 16, 2004 Accepting new patients
Pipestone Family Chiropractic, PA Chiropractor PastSince Dec 22, 2003 Accepting new patients
Wellness Chiropractic Center PC Chiropractor PastSince Mar 1, 2011 Accepting new patients
Sister Rosalind Gefre Schools & Clinic of Massage Chiropractor Past Accepting new patients

Locations

18 Riverside Ave S
Ste 220
Sartell, MN 56377
Phone (320) 202-5991

50 14th Ave E
Sartell, MN 56377
Phone (320) 202-5991

50 14th Ave E
Ste 112
Sartell, MN 56377
Phone (320) 202-5991

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1962542126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 14TH AVE E",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774651",
            "telephone_number": "320-202-5991",
            "fax_number": "320-203-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 14TH AVE E",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774651",
            "telephone_number": "320-202-5991",
            "fax_number": "320-203-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVENSSON",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "819A9SV",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.