Individual provider Active NPI

Eric Michael Oltmanns, D.C.

  • Chiropractor
  • Saint Cloud, MN
National Provider Identifier
1356683114
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5798 Issued in MN
Practice address
251 County Road 120 Ste B
Saint Cloud, MN 56303-4886
Phone
(320) 252-3711
Fax
(320) 240-0608
NPI assigned
Mar 20, 2013
Last updated
Aug 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5798 MN Primary

Addresses

Primary practice location

251 County Road 120 Ste B
Saint Cloud, MN 56303-4886

Mailing address

251 County Road 120
Saint Cloud, MN 56303-4886
Phone (320) 252-3711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000987 MN Practitioner - Chiropractic 4880836287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Chiropractic ClinicGroup PAC ID 6002861390, 3 clinicians

Practice addresses (Care Compare)

251 County Rd
120 Suite B
Saint Cloud, MN 56303-4886
Phone (320) 252-3711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5798MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Chiropractic Clinic Chiropractor CurrentSince May 1, 2013 Accepting new patients

Locations

251 County Road 120
Ste B
Saint Cloud, MN 56303
Phone (320) 252-3711

251 County Road 120
Sartell, MN 56303
Phone (320) 202-8949

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1356683114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 COUNTY ROAD 120",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034886",
            "telephone_number": "320-252-3711",
            "fax_number": "320-240-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 COUNTY ROAD 120 STE B",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034886",
            "telephone_number": "320-252-3711",
            "fax_number": "320-240-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTMANNS",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.