NPIMap

Organization Active NPI

Oakwinds Clinic of Chiropractic, P.a.

  • Chiropractor
  • Oakdale, MN
National Provider Identifier
1548565765
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5474 Issued in MN
Legal business name
OAKWINDS CLINIC OF CHIROPRACTIC, P.A.
Practice address
968 Inwood Ave N
Oakdale, MN 55128-6625
Phone
(651) 578-8588
NPI assigned
Jan 19, 2011
Last updated
Jan 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Dr. Poua Thao, D.C.
Title
President
Phone
(651) 276-8014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5474 MN Primary

Addresses

Primary practice location

968 Inwood Ave N
Oakdale, MN 55128-6625

Mailing address

6798 Hadley Ave S
Cottage Grove, MN 55016-1073
Phone (651) 276-8014

National Provider Directory

National Provider Directory

Locations

964 Inwood Ave N
Oakdale, MN 55128
Phone (651) 621-2206

968 Inwood Ave N
Saint Paul, MN 55128
Phone (651) 578-8588

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1548565765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6798 HADLEY AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550161073",
            "telephone_number": "651-276-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 INWOOD AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286625",
            "telephone_number": "651-578-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWINDS CLINIC OF CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "THAO",
        "authorized_official_first_name": "POUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-276-8014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.