Organization Active NPI

Opp Family Chiropractic P.a.

  • Chiropractor
  • Saint Francis, MN
National Provider Identifier
1982890810
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OPP FAMILY CHIROPRACTIC P.A.
Practice address
23168 Saint Francis Blvd NW
#600
Saint Francis, MN 55070-9805
Phone
(763) 213-0615
Fax
(763) 213-0616
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Brian Jeremy Opp, D.C.NPI 1184610321
Title
President
Phone
(763) 213-0615

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

23168 Saint Francis Blvd NW
#600
Saint Francis, MN 55070-9805

Mailing address

23168 Saint Francis Blvd NW
#600
Saint Francis, MN 55070-9805
Phone (763) 213-0615

Other identifiers 2

IdentifierTypeStateIssuer
744450800MedicaidMN
652617900MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041115000512 MN Part B Supplier - Clinic/Group Practice 1153385711 Receives reassigned benefits from 4 practitioners
Practice locations: Saint Francis, MN

National Provider Directory

National Provider Directory

Locations

23671 Saint Francis Blvd NW
Ste 102
Saint Francis, MN 55070
Phone (763) 213-0615

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1982890810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23168 SAINT FRANCIS BLVD NW",
            "address_2": "#600",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550709805",
            "telephone_number": "763-213-0615",
            "fax_number": "763-213-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23168 SAINT FRANCIS BLVD NW",
            "address_2": "#600",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550709805",
            "telephone_number": "763-213-0615",
            "fax_number": "763-213-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPP FAMILY CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "OPP",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-213-0615",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744450800",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "652617900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.