Jerod Lynn Ochsendorf, DC, CCSP, ATC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4768 Issued in MN

Practice address

114 5TH Ave W
Alexandria, MN 56308-1304

Phone

(320) 762-2055

NPI assigned

Nov 15, 2006

Last updated

Aug 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Achieve Chiropractic and Wellness, PA

  dba Achieve Wellness

  • Clinic/Center
  • Alexandria, MN
  • NPI 1467900688
  NPD (past) Authorized official
• Cich Chiropractic

  • Chiropractor
  • Maple Grove, MN
  • NPI 1225198856
  NPD (past)
• LQCR, PLLC

  dba Life Quest Chiropractic & Sports

  • Chiropractor
  • Alexandria, MN
  • NPI 1972725729
  NPD (past)
• New Kingdom Pediatrics LLC

  • Clinic/Center
  • Eden Prairie, MN
  • NPI 1760816045
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1508939091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 5TH AVE W",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081304",
            "telephone_number": "320-762-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 5TH AVE W",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081304",
            "telephone_number": "320-762-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHSENDORF",
        "first_name": "JEROD",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC, CCSP, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 'AWARE' PROVIDER",
            "identifier": "77G43OC",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260441800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "350004518",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nurture Women's Therapy, LLC
• Andrea Nyberg, MA, OTR/L, CLT
• Hillary Renee O'Connor
• Oakdale Health Enterprises, Inc. (Oakdale Enterprises North Ambulance)
• Julie A Obrien
• Sue Odell
• David J. Odland, MD
• Paul M Odland
• Paula Joyelle Odland, LMFT
• Sharon Odland

• Chiropractor in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.