Individual provider Active NPI

Noah Johann Ostlund, DC

  • Chiropractor
  • Spartanburg, SC
National Provider Identifier
1508603101
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5096 Issued in SC
Practice address
1066 Asheville Hwy Unit C
Spartanburg, SC 29303-2635
Phone
(864) 626-4678
NPI assigned
Jul 10, 2024
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5096 SC Primary

Addresses

Primary practice location

1066 Asheville Hwy Unit C
Spartanburg, SC 29303-2635

Mailing address

1241 Upper Valley Falls Rd
Boiling Springs, SC 29316-4865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1241 Upper Valley Falls Rd
Boiling Springs, SC 29316-4865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5096SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Spine & Health, Inc. Chiropractor CurrentSince Dec 1, 2024 Accepting new patients

Locations

1066C Asheville Hwy
Spartanburg, SC 29303
Phone (864) 626-4678

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1508603101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 UPPER VALLEY FALLS RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293164865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 ASHEVILLE HWY UNIT C",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032635",
            "telephone_number": "864-626-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTLUND",
        "first_name": "NOAH",
        "middle_name": "JOHANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "5096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.