Performance Healthcare

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PERFORMANCE HEALTHCARE

Practice address

10130 Davenport St NE
Suite 180
Blaine, MN 55449-4776

Phone

(763) 784-3004

Fax

(763) 780-3004

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott Thomas Oswald, D.C.NPI 1144346263

Title

Chiropractor

Phone

(763) 784-3004

Specialties & licenses 1

Addresses

Other names 1

• The Center for Chiropractic & Human Performance, LLP Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Thomas Oswald, D.C.

  • Chiropractor
  • Blaine, MN
  • NPI 1144346263
  NPD (past) Authorized official
• Carrie Diane Oswald, D.C.

  • Chiropractor
  • Blaine, MN
  • NPI 1679699789
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1568588689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490005",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554490005",
            "telephone_number": "763-784-3004",
            "fax_number": "763-780-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 DAVENPORT ST NE",
            "address_2": "SUITE 180",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494776",
            "telephone_number": "763-784-3004",
            "fax_number": "763-780-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "OSWALD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "763-784-3004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Chiropractic & Human Performance, LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Peak Home Healthcare LLC
• Lori Rae Pederson, RPH
• Peixin Liu DDS (Family Dental Care)
• Peixin Liu DDS (Family Dental Care)
• Kailany Marie Perez-Cruz
• Robin Y Peternell, LMFT
• Jean Marie Peterson, RN
• Paul H Peterson, DPM
• Petra Homecare Services LLC (Petra Recuperative Care Services)
• Thien Quang Pham, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.