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Organization Active NPI

Nielson Family Chiropractic PLLC

Doing business as Davis Chiropractic

  • Chiropractor
  • St Louis Park, MN
National Provider Identifier
1467736231
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NIELSON FAMILY CHIROPRACTIC PLLC
Doing business as
Davis Chiropractic
Premier Health of St. Louis Park
Symmetry Chiropractic and Physical Therapy
Practice address
5050 W 36TH St Ste 100
St Louis Park, MN 55416-5470
Phone
(952) 925-4085
Fax
(952) 925-1394
NPI assigned
Sep 28, 2011
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Dr. Jeremy Jay Nielson, D.C.NPI 1831405703
Title
Ceo
Phone
(952) 925-4085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

5050 W 36TH St Ste 100
St Louis Park, MN 55416-5470

Mailing address

5050 W 36TH St Ste 100
St Louis Park, MN 55416-5470
Phone (952) 925-4085

Other practice location 1

14450 S Robert Trl Ste 208
Rosemount, MN 55068-4952
Phone (651) 423-2251

Other practice location 2

2510 Maple Grove Rd Ste 200
Duluth, MN 55811-1824
Phone (218) 722-9300

Other practice location 3

518 Central Ave
Osseo, MN 55369-1129
Phone (763) 425-5525

Other names 3

  • Davis Chiropractic Doing business as
  • Premier Health of St. Louis Park Doing business as
  • Symmetry Chiropractic and Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, FL, WI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20120109000699 MN Part B Supplier - Clinic/Group Practice 0648446930 Receives reassigned benefits from 8 practitioners
Practice locations: Duluth, MN; Osseo, MN; Rosemount, MN; St Louis Park, MN
O20220907003949 FL Part B Supplier - Clinic/Group Practice 0648446930 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL; Palm City, FL
O20230331001593 WI Part B Supplier - Clinic/Group Practice 0648446930 Receives reassigned benefits from 5 practitioners
Practice locations: Superior, WI; River Falls, WI; New Richmond, WI; Eau Claire, WI; Colfax, WI; Chippewa Falls, WI; Menomonie, WI

National Provider Directory

National Provider Directory

Locations

2331 108th Ln NE
Blaine, MN 55449
Phone (253) 777-7763

2510 Maple Grove Rd
Ste 200
Duluth, MN 55811
Phone (218) 722-9300

5215 Edina Industrial Blvd
Ste 300
Edina, MN 55439
Phone (952) 835-0006

1216 W Lake St
Minneapolis, MN 55408
Phone (612) 345-5376

518 Central Ave
Osseo, MN 55369
Phone (763) 425-5525

14450 S Robert Trl
Ste 208
Rosemount, MN 55068
Phone (651) 423-2251

5050 W 36th St
Ste 100
St Louis Park, MN 55416
Phone (612) 920-1092

14727 60th St N
Stillwater, MN 55082
Phone (651) 439-1013

101 N Main St
River Falls, WI 54022
Phone (651) 571-0201

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1467736231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 W 36TH ST STE 100",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165470",
            "telephone_number": "952-925-4085",
            "fax_number": "952-925-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 W 36TH ST STE 100",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165470",
            "telephone_number": "952-925-4085",
            "fax_number": "952-925-1394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14450 S Robert Trl Ste 208",
            "address_purpose": "LOCATION",
            "city": "Rosemount",
            "state": "MN",
            "postal_code": "550684952",
            "country_code": "US",
            "telephone_number": "651-423-2251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 Maple Grove Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558111824",
            "country_code": "US",
            "telephone_number": "218-722-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "518 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Osseo",
            "state": "MN",
            "postal_code": "553691129",
            "country_code": "US",
            "telephone_number": "763-425-5525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIELSON FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-925-4085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Health of St. Louis Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Symmetry Chiropractic and Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.