Healthcare Provider Details

I. General information

NPI: 1780592121
Provider Name (Legal Business Name): PAIN CENTERS OF MINNESOTA - CHASKA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 COUNTY ROAD 42 W STE 200
BURNSVILLE MN
55337-6933
US

IV. Provider business mailing address

9645 GROVE CIR N STE 250
MAPLE GROVE MN
55369-2683
US

V. Phone/Fax

Practice location:
  • Phone: 763-201-8191
  • Fax: 763-201-8192
Mailing address:
  • Phone: 763-201-8191
  • Fax: 763-201-8192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARAH KLAPHAKE
Title or Position: COO
Credential:
Phone: 763-201-8191