Active NPI
Carolyn Ohara
- Chiropractor
- Maple Grove, MN
National Provider Identifier
1407967292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3886
- Practice address
- 11254 86TH Ave N
Maple Grove, MN 55369-4510 - Phone
- (763) 494-0090
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3886 | MN | Primary |
Addresses
Primary practice location
11254 86TH Ave N
Maple Grove, MN 55369-4510
Mailing address
11254 86TH Ave N
Maple Grove, MN 55369-4510
Phone (763) 494-0090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00286533 | Other | MN | RAILROAD MEDICARE |
| 244T20H | Other | MN | BCBS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1407967292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11254 86TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694510",
"telephone_number": "763-494-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11254 86TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694510",
"telephone_number": "763-494-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHARA",
"first_name": "CAROLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3886",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00286533",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "244T20H",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.