NPIMap

Organization Active NPI

Advanced Care Chiropractic P.a.

  • Chiropractor
  • Minnetonka, MN
National Provider Identifier
1255623203
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4078 Issued in MN
Legal business name
ADVANCED CARE CHIROPRACTIC P.A.
Practice address
14001 Ridgedale Dr
Suite 390
Minnetonka, MN 55305-1753
Phone
(612) 578-1699
NPI assigned
May 10, 2011
Last updated
Jul 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Sheldon Matthew Osvold, D.C.NPI 1487842530
Title
President
Phone
(612) 578-1699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4078 MN Primary

Addresses

Primary practice location

14001 Ridgedale Dr
Suite 390
Minnetonka, MN 55305-1753

Mailing address

14001 Ridgedale Dr
Suite 390
Minnetonka, MN 55305-1753

National Provider Directory

National Provider Directory
Tax ID family
Advanced Care Chiropractic PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1255623203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 RIDGEDALE DR",
            "address_2": "SUITE 390",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 RIDGEDALE DR",
            "address_2": "SUITE 390",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051753",
            "telephone_number": "612-578-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "OSVOLD",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-578-1699",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.