Individual provider Active NPI

Alex Orina Onsomu, D.C

  • Chiropractor
  • Champlin, MN
National Provider Identifier
1275675308
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4787 Issued in MN
Practice address
11030 Douglas Dr N
Champlin, MN 55316-3466
Phone
(763) 571-2115
NPI assigned
Feb 13, 2007
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4787 MN Primary

Addresses

Primary practice location

11030 Douglas Dr N
Champlin, MN 55316-3466

Mailing address

322 Parkview LN S
Maplewood, MN 55119-6914
Phone (612) 749-9436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4787MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Chiropractic, Inc Chiropractor CurrentSince Mar 1, 2012 Accepting new patients

Locations

11030 Douglas Dr N
Champlin, MN 55316
Phone (763) 571-2115

Organizations & group practices 1

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1275675308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 PARKVIEW LN S",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551196914",
            "telephone_number": "612-749-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 DOUGLAS DR N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163466",
            "telephone_number": "763-571-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONSOMU",
        "first_name": "ALEX",
        "middle_name": "ORINA",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champlin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.