Active NPI
Sheldon Matthew Osvold, D.C.
- Chiropractor
- Minnetonka, MN
National Provider Identifier
1487842530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4078
- Practice address
- 14001 Ridgedale Dr
Minnetonka, MN 55305-1753 - Phone
- (612) 578-1699
- NPI assigned
- Oct 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 4078 | MN | Primary |
Addresses
Primary practice location
14001 Ridgedale Dr
Minnetonka, MN 55305-1753
Mailing address
14001 Ridgedale Dr
Minnetonka, MN 55305-1753
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": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1487842530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14001 RIDGEDALE DR",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 RIDGEDALE DR",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051753",
"telephone_number": "612-578-1699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSVOLD",
"first_name": "SHELDON",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-12",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.