NPIMap

Organization Active NPI

Osborne Chiropractic PA

  • Chiropractor
  • Plymouth, MN
National Provider Identifier
1740627017
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5799 Issued in MN
Legal business name
OSBORNE CHIROPRACTIC PA
Practice address
4455 Highway 169 N
Suite 200
Plymouth, MN 55442-2897
Phone
(763) 557-9032
Fax
(763) 557-9838
NPI assigned
May 28, 2013
Last updated
May 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Dr. Joseph Dale Osborne, D.C.NPI 1376988543
Title
Doctor of Chiropractic
Phone
(763) 557-9032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5799 MN Primary

Addresses

Primary practice location

4455 Highway 169 N
Suite 200
Plymouth, MN 55442-2897

Mailing address

4455 Highway 169 N
Suite 200
Plymouth, MN 55442-2897
Phone (763) 557-9032

National Provider Directory

National Provider Directory

Locations

4455 Highway 169 N
Ste 200
Plymouth, MN 55442
Phone (763) 557-9032

Practitioners & affiliated clinicians

Practitioners 1

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": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1740627017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 HIGHWAY 169 N",
            "address_2": "SUITE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422897",
            "telephone_number": "763-557-9032",
            "fax_number": "763-557-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 HIGHWAY 169 N",
            "address_2": "SUITE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422897",
            "telephone_number": "763-557-9032",
            "fax_number": "763-557-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBORNE CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "763-557-9032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.