Organization Active NPI

Olson Bros. Chiropractic PA

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1467642728
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
427 Issued in MN
Legal business name
OLSON BROS. CHIROPRACTIC PA
Practice address
2400 County Road D W
Suite 101
Saint Paul, MN 55112-7564
Phone
(651) 633-0155
Fax
(651) 604-2935
NPI assigned
Aug 1, 2007
Last updated
Jul 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Mrs. Teresa Ann Nelson
Title
Office Manager
Phone
(651) 633-0155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 427 MN Primary

Addresses

Primary practice location

2400 County Road D W
Suite 101
Saint Paul, MN 55112-7564

Mailing address

2400 County Road D W
Suite 101
Saint Paul, MN 55112-7564
Phone (651) 633-0155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060117000129 MN Part B Supplier - Clinic/Group Practice 6204850399 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

2400 County Road D W
Saint Paul, MN 55112
Phone (651) 633-0155

2400 County Road D W
Ste 101
Saint Paul, MN 55112
Phone (651) 633-0155

Practitioners & affiliated clinicians

Practitioners 3

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1467642728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 COUNTY ROAD D W",
            "address_2": "SUITE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551127564",
            "telephone_number": "651-633-0155",
            "fax_number": "651-604-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 COUNTY ROAD D W",
            "address_2": "SUITE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551127564",
            "telephone_number": "651-633-0155",
            "fax_number": "651-604-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON BROS. CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-633-0155",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.