Lexington Square Chiropractic Center PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LEXINGTON SQUARE CHIROPRACTIC CENTER PLLC

Practice address

4137 Woodland Rd
Circle Pines, MN 55014-3529

Phone

(763) 784-5104

NPI assigned

Jan 2, 2024

Last updated

Jan 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul J Osterbauer, DCNPI 1548344955

Title

Owner

Phone

(763) 784-5304

Specialties & licenses 1

Addresses

Other names 1

• Lexington Square Chiropractic Center PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Paul John Osterbauer, D.C.

  • Chiropractor
  • Circle Pines, MN
  • NPI 1548344955
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1831969823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 WOODLAND RD",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550143529",
            "telephone_number": "763-784-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 WOODLAND RD",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550143529",
            "telephone_number": "763-784-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON SQUARE CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "OSTERBAUER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-784-5304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Square Chiropractic Center PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lake Area Memory Care LLC (Northwoods Memory Care Suites)
• Lake Drive Chiopractic Clinic
• Megan Ann Larson, MA, CCC-SLP
• Rachel Joy Larson, LMFT
• Lexington Square Chiropractic
• Life Solutions Home Health Care LLC
• Luminate Therapy Collective
• Greta M Lund
• Daniel Simeon Lutz, DC
• Le'Handra Lynch

• Clinic/Center in Circle Pines, MN
• Providers in Circle Pines, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.