St. Charles Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4958 Issued in MN

Legal business name

ST. CHARLES FAMILY CHIROPRACTIC

Practice address

213 E 6TH St
Saint Charles, MN 55972-1403

Phone

(507) 932-5696

NPI assigned

Feb 29, 2008

Last updated

Mar 3, 2008By 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. Eric Douglas Omdahl, D.C.NPI 1326268392

Title

President

Phone

(507) 932-5696

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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.

• Eric Omdahl, D.C.

  • Chiropractor
  • Saint Charles, MN
  • NPI 1326268392
  Medicare reassignment NPD Authorized official
• Jeffrey Devine, D.C.

  • Chiropractor
  • Saint Charles, MN
  • NPI 1720128135
  NPD (past)

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1982873337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E 6TH ST",
            "city": "SAINT CHARLES",
            "state": "MN",
            "postal_code": "559721403",
            "telephone_number": "507-932-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E 6TH ST",
            "city": "SAINT CHARLES",
            "state": "MN",
            "postal_code": "559721403",
            "telephone_number": "507-932-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "OMDAHL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-932-5696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NSH Whitewater LLC (Whitewater Health Services)
• Eric Omdahl, D.C.
• Andrea Marie Peters, D.D.S
• Ashton Reedy, COTA
• Michelle Renae Sanderson, RN
• Michelle Strodthoff, PT, DPT
• Whitewater Retirement Opco LLC
• Winona MN Opco LLC

• Chiropractor in Saint Charles, MN
• Providers in Saint Charles, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.