Nokomis Chiropractic Center P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2735 Issued in MN

Legal business name

NOKOMIS CHIROPRACTIC CENTER P.A.

Practice address

5313 Lyndale Ave S
Minneapolis, MN 55419-1229

Phone

(612) 822-0149

Fax

(612) 822-7441

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan W Olson, D.C.NPI 1801965819

Title

Ceo

Phone

(612) 822-0149

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

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

• Jonathan W Olson, D.C.

  • Chiropractor
  • Minneapolis, MN
  • NPI 1801965819
  Medicare reassignment NPD Authorized official
• Judith Elizabeth Swain, D.C.

  • Chiropractor
  • Minneapolis, MN
  • NPI 1336323773
  NPD (past)
• Benjamin Axel Simonson, DC

  • Radiology Chiropractor
  • Brandon, SD
  • NPI 1346317807
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851463475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191229",
            "telephone_number": "612-822-0149",
            "fax_number": "612-822-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5313 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191229",
            "telephone_number": "612-822-0149",
            "fax_number": "612-822-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOKOMIS CHIROPRACTIC CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-822-0149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC ID",
            "identifier": "71102NO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nofa Health Services LLC
• Kiyonari Noguchi, MD
• Victoria Lynn Nohl, LPCC
• Sandra Lea Nohre, PHD
• Jana Nohrenberg, DNP, RN
• Nokomis Family Dental PA
• Brian Nolan
• Kiersten Suzanne Nolan, CNP
• Margaret B. Nolan, MS, MD
• Christine Nolde, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.