Individual provider Active NPI

Mary Omann, DC

  • Chiropractor
  • Excelsior, MN
National Provider Identifier
1639048754
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7383 Issued in MN
Practice address
373 George St
Excelsior, MN 55331-3061
Phone
(952) 474-3359
NPI assigned
Nov 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7383 MN Primary

Addresses

Primary practice location

373 George St
Excelsior, MN 55331-3061

Mailing address

5707 Highway 7 Apt 331
Saint Louis Park, MN 55416-5087
Phone (630) 673-4294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260330001043 MN Practitioner - Chiropractic 5890270706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

373 George St
Excelsior, MN 55331-3061
Phone (630) 673-4294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7383MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McSharry Chiro LLC Chiropractor CurrentSince Nov 9, 2025 Accepting new patients
Empower Chiropractic and Wellness Center P.L.L.C. Chiropractor CurrentSince Nov 9, 2025 Accepting new patients

Locations

373 George St
Excelsior, MN 55331
Phone (952) 474-3359

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1639048754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 HIGHWAY 7 APT 331",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554165087",
            "telephone_number": "630-673-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 GEORGE ST",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553313061",
            "telephone_number": "952-474-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMANN",
        "first_name": "MARY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.