Active NPI
Northland Chiropractic Clinic, LLC
- Chiropractor
- Stillwater, MN
National Provider Identifier
1477709814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4122
- Legal business name
- NORTHLAND CHIROPRACTIC CLINIC, LLC
- Practice address
- 1940 Greeley St S # 112
Stillwater, MN 55082-5097 - Phone
- (651) 430-2727
- Fax
- (651) 342-0815
- NPI assigned
- Aug 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Corey Michael Oscarson, DC
- Title
- Doctor
- Phone
- (651) 430-2727
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4122 | MN | Primary |
Addresses
Primary practice location
1940 Greeley St S # 112
Stillwater, MN 55082-5097
Mailing address
1940 Greeley St S # 112
Stillwater, MN 55082-5097
Phone (651) 430-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1940 Greeley St S
#112
Stillwater, MN 55082
Phone (651) 430-2727
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Stillwater, MN
- NPI 1861421976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762992000000",
"number": "1477709814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 GREELEY ST S # 112",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550825097",
"telephone_number": "651-430-2727",
"fax_number": "651-342-0815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 GREELEY ST S # 112",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550825097",
"telephone_number": "651-430-2727",
"fax_number": "651-342-0815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHLAND CHIROPRACTIC CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-18",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A",
"authorized_official_last_name": "OSCARSON",
"authorized_official_first_name": "COREY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "651-430-2727",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "4122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.