Individual provider Active NPI

Jordan Peter Oslan, D.C.

  • Chiropractor
  • Coral Springs, FL
National Provider Identifier
1104367515
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12057 Issued in FL
Practice address
4621 N University Dr
Coral Springs, FL 33067-4602
Phone
(954) 341-5544
NPI assigned
Mar 17, 2017
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12057 FL Primary

Addresses

Primary practice location

4621 N University Dr
Coral Springs, FL 33067-4602

Mailing address

4621 N University Dr
Coral Springs, FL 33067-4602
Phone (954) 341-5544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190626002279 AK Practitioner - Chiropractic 5597099465 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiro One Wellness Center of Anchorage South LLCGroup PAC ID 3577923614, 2 clinicians
Arctic Chiropractic South LLCGroup PAC ID 5496063653, 2 clinicians

Practice addresses (Care Compare)

4000 W Dimond Blvd
Unit 4
Anchorage, AK 99502-1474
Phone (907) 243-0660

750 W Dimond Blvd
Suite 121
Anchorage, AK 99515-1515
Phone (907) 344-0033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12057FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of Anchorage South LLC Chiropractor CurrentSince Sep 1, 2025 Accepting new patients
Arctic Chiropractic South LLC Chiropractor CurrentSince Sep 1, 2025 Accepting new patients
Dimond Chiropractic LLC Chiropractor CurrentSince Jul 13, 2019 Accepting new patients
Chiro One Wellness Center of Dimond LLC Chiropractor CurrentSince Jul 8, 2023 Accepting new patients

Locations

4000 W Dimond Blvd
Unit 4
Anchorage, AK 99502
Phone (907) 243-0660

750 W Dimond Blvd
Ste 121
Anchorage, AK 99515
Phone (907) 344-0033

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1104367515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674602",
            "telephone_number": "954-341-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674602",
            "telephone_number": "954-341-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSLAN",
        "first_name": "JORDAN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.