Samuel Alexander, DC, LN
Samuel Alexander, DC, LN is a provider specialising in Nutritionist in Roseville, MN, registered under NPI 1134635485. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 1700 S HWY 36 SERVICE DR #400, Roseville, MN 55113. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 6450 | MN | Chiropractor |
| N257 | MN | Nutritionist primary |
This provider holds licence 6450 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Registered Dietitian Or Nutrition Professional
- PAC ID
- 1153680137
- Enrollment ID
- I20260528003488
Medicare enrolment is recorded as approved under the provider type Practitioner - Registered Dietitian Or Nutrition Professional. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Nutritionist covers
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. NUCC Health Care Provider Taxonomy, code 133N00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 6450 | MN | |
| 133N00000X | Nutritionist | N257 | MN | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1134635485 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Dec 22, 2017 |
| Last updated | Oct 15, 2024 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Credential | DC, LN |
| Practice address |
1700 S HWY 36 SERVICE DR #400 Roseville, MN 55113 (507) 519-0552 |
| Mailing address |
10725 202ND ST W Lakeville, MN 55044 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 3 | 4 | 6 | 3 | 5 | 4 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 6 | 4 | 3 | 3 | 1 | 4 | 7 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.