Cutting Edge Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6300 Issued in MN

Legal business name

CUTTING EDGE WELLNESS LLC

Practice address

507 N Nokomis St Ste B
Alexandria, MN 56308-2353

Phone

(320) 762-2639

Fax

(320) 762-2650

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Landon Edward Olson, DCNPI 1437694718

Title

Doctor of Chiropractic/Owner

Phone

(320) 762-2639

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Chiropractic and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Landon Edward Olson, D.C.

  • Chiropractor
  • Alexandria, MN
  • NPI 1437694718
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1144735960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N NOKOMIS ST STE B",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082353",
            "telephone_number": "320-762-2639",
            "fax_number": "320-762-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N NOKOMIS ST STE B",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082353",
            "telephone_number": "320-762-2639",
            "fax_number": "320-762-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTTING EDGE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "LANDON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/OWNER",
        "authorized_official_telephone_number": "320-762-2639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracie Jolene Crouse, LPN
• Aaron J Crowser, MD
• Jacob Aaron Cruze, DPT, CSMT
• Leah Renae Cruze, D.P.T.
• Cullens Home Center
• Richelle M Dack, PT
• Scott L. Dack, MPAS/ATC/PAC
• Tesa T Dahl, MS, BCBA, LBA
• Michael Richard Dahlquist, D.C.
• Amanda Jean Dahlseng, RN, PHN

• All providers in Alexandria, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.