Active NPI
Spectrum Development Center Inc.
- Early Intervention Provider Agency
- Minneapolis, MN
National Provider Identifier
1982282117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- SPECTRUM DEVELOPMENT CENTER INC.
- Practice address
- 2807 Nicollet Ave
Minneapolis, MN 55408-2329 - Phone
- (612) 227-8207
- NPI assigned
- Mar 30, 2021
- Last updated
- Mar 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nur Mohamed
- Title
- Managing Employee
- Phone
- (612) 227-8207
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | NU | Primary |
Addresses
Primary practice location
2807 Nicollet Ave
Minneapolis, MN 55408-2329
Mailing address
2807 Nicollet Ave
Minneapolis, MN 55408-2329
Phone (612) 227-8207
National Provider Directory
National Provider DirectoryLocations
2807 Nicollet Ave
Minneapolis, MN 55408
Phone (612) 227-8207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617062400000",
"number": "1982282117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2807 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082329",
"telephone_number": "612-227-8207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2807 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082329",
"telephone_number": "612-227-8207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM DEVELOPMENT CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-30",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A",
"authorized_official_last_name": "MOHAMED",
"authorized_official_first_name": "NUR",
"authorized_official_title_or_position": "MANAGING EMPLOYEE",
"authorized_official_telephone_number": "612-227-8207"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NU",
"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 Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.