Oxboro Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3666 Issued in MN

Legal business name

OXBORO FAMILY CHIROPRACTIC

Practice address

9864 Lyndale Ave S
Bloomington, MN 55420-4731

Phone

(952) 948-9225

Fax

(952) 888-6011

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason Edward Zimmerman

Title

Owner

Phone

(952) 948-9225

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942411822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9864 LYNDALE AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204731",
            "telephone_number": "952-948-9225",
            "fax_number": "952-888-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9864 LYNDALE AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204731",
            "telephone_number": "952-948-9225",
            "fax_number": "952-888-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXBORO FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-948-9225",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1659493112",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA ID",
            "identifier": "4485655",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CLINIC ID",
            "identifier": "11F76OX",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellen Douglas Otte, D.C
• Kaye Bradley Otter, D.C.
• Christa Overson, MSE, LMFT
• Stephanie Owens
• Oxboro Dental Care
• Emily Rita Oyaas
• Rose Moraa Oyaro
• Tolulope A Oyelowo, D.C.
• Jenita Lee Pace, L.P.C.
• Pacific Care LLC

• Chiropractor in Bloomington, MN
• Providers in Bloomington, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.