Peaceful Pathway Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PEACEFUL PATHWAY CORPORATION

Practice address

3751 17TH Ave S
Minneapolis, MN 55407-2807

Phone

(651) 408-3727

NPI assigned

Jan 15, 2025

Organization subpart

No

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

Authorized official

Name

Kadir Tolla

Title

Owner

Phone

(651) 408-3727

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742601600000",
    "number": "1972314482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 17TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 17TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072807",
            "telephone_number": "651-408-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL PATHWAY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A",
        "authorized_official_last_name": "TOLLA",
        "authorized_official_first_name": "KADIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-408-3727"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; 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.