Osvold Chiropractic Corporated

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4078 Issued in MN

Legal business name

OSVOLD CHIROPRACTIC CORPORATED

Practice address

4811 Nicollet Ave
Minneapolis, MN 55419-5510

Phone

(612) 821-9770

Fax

(612) 216-4296

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Sheldon Matthew Osvold, D.C.

Title

President

Phone

(952) 854-3575

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1992984959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 14TH AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251716",
            "telephone_number": "952-854-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195510",
            "telephone_number": "612-821-9770",
            "fax_number": "612-216-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSVOLD CHIROPRACTIC CORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "OSVOLD",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-854-3575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Kay Ostman, PTA
• Benjamin Tyler Ostrander, MD, MSE
• Janice L Ostrom, M.S., L.P.
• Jennifer Ostrom, LADC, LPCC
• Emily Ostrow, MS, RDN, LD
• Oswald Digestive Clinic LLC
• Alexa Carol Oswald
• Ashley Oswald, RDN, IFNCP, CNSC, LD
• Jessica Lea Oswald, DO
• Mark C Oswood, M.D.

• 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 Oct 26, 2007; 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.