Opdahl Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3313 Issued in MN

Legal business name

OPDAHL CHIROPRACTIC, P.A.

Doing business as

Opdahl Chiropractic

Practice address

551 SW 1St St
Montevideo, MN 56265-2105

Phone

(320) 321-1700

Fax

(320) 321-1515

NPI assigned

Sep 8, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brett Alan Opdahl, DCNPI 1598866584

Title

Chiropractor/Owner

Phone

(320) 321-1700

Specialties & licenses 1

Addresses

Other names 1

• Opdahl Chiropractic 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, and the practitioner matching its NPPES authorized official.

• Brett Alan Opdahl, D.C.

  • Chiropractor
  • Montevideo, MN
  • NPI 1598866584
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336667492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 SW 1ST ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562652105",
            "telephone_number": "320-321-1700",
            "fax_number": "320-321-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 SW 1ST ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562652105",
            "telephone_number": "320-321-1700",
            "fax_number": "320-321-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPDAHL CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OPDAHL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "320-321-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opdahl Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Ohmacht
• Holli Joy Olson, PA-C
• Keith Alan Olson, DDS
• Nicole Christine Olson, MA, LMFT
• Courtney Opbroek
• Brett Alan Opdahl, D.C.
• Elizabeth Rose Orr, MD
• Brandon Osbon, MD
• Ashley Jo Patton, DDS
• Amy Lee Pederson, RN, BSN

• Chiropractor in Montevideo, MN
• Providers in Montevideo, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.