Individual provider Active NPI

Todd J. Spratt, D.C.

  • Chiropractor
  • Prior Lake, MN
National Provider Identifier
1982775334
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3533 Issued in MN
Practice address
5116 Gateway St SE
#202
Prior Lake, MN 55372-2074
Phone
(952) 440-2225
Fax
(952) 440-2255
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3533 MN Primary

Addresses

Primary practice location

5116 Gateway St SE
#202
Prior Lake, MN 55372-2074

Mailing address

5116 Gateway St SE
#202
Prior Lake, MN 55372-2074
Phone (952) 440-2225

Other identifiers 1

IdentifierTypeStateIssuer
059321400MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050610000237 MN Practitioner - Chiropractic 1052355047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5116 Gateway St SE
Suite 202
Prior Lake, MN 55372-2075
Phone (952) 440-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spratt Chiropractic, PLLC Chiropractor CurrentSince Oct 1, 2016 Accepting new patients

Locations

5116 Gateway St SE
Ste 202
Prior Lake, MN 55372
Phone (952) 440-2225

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1982775334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 GATEWAY ST SE",
            "address_2": "#202",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722074",
            "telephone_number": "952-440-2225",
            "fax_number": "952-440-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 GATEWAY ST SE",
            "address_2": "#202",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722074",
            "telephone_number": "952-440-2225",
            "fax_number": "952-440-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRATT",
        "first_name": "TODD",
        "middle_name": "J.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059321400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prior Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.