Organization Active NPI

Optimal Health Chiropractic & Acupuncture, PA

  • Chiropractor
  • Jackson, MN
National Provider Identifier
1972854040
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OPTIMAL HEALTH CHIROPRACTIC & ACUPUNCTURE, PA
Practice address
405 2ND St
Jackson, MN 56143-1641
Phone
(507) 478-2112
Fax
(507) 235-5539
NPI assigned
Sep 28, 2012
Last updated
Jun 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Dr. Kerri Lynn Henderson, DCNPI 1588744155
Title
Owner
Phone
(507) 235-5505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

405 2ND St
Jackson, MN 56143-1641

Mailing address

405 2ND St
Jackson, MN 56143-1641
Phone (507) 847-2112

Other names 1

  • Optimal Health & Chiropractic, PA Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121031000330 MN Part B Supplier - Clinic/Group Practice 7618127515 Receives reassigned benefits from 1 practitioner
Practice locations: Fairmont, MN; Jackson, MN

National Provider Directory

National Provider Directory

Locations

115 W Blue Earth Ave
Fairmont, MN 56031
Phone (507) 235-5505

923 N State St
Ste 140
Fairmont, MN 56031
Phone (507) 235-5505

405 2nd St
Jackson, MN 56143
Phone (507) 478-2112

Interoperability endpoints

  • Direct secure messaging: kbutteris@ohc0006.direct.chirotouch.md

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": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1972854040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 2ND ST",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "561431641",
            "telephone_number": "507-847-2112",
            "fax_number": "507-847-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 2ND ST",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "561431641",
            "telephone_number": "507-478-2112",
            "fax_number": "507-235-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH CHIROPRACTIC & ACUPUNCTURE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-235-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Health & Chiropractic, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jackson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.