NOKOMIS CHIROPRACTIC CENTER P.A. (NPI# 1851463475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851463475 |
| Entity Type | Organization |
| Organization Name | NOKOMIS CHIROPRACTIC CENTER P.A. |
| Practice Address |
5313 Lyndale Ave S Minneapolis MN 55419-1229 |
| Practice Telephone | 6128220149 |
| Practice Fax Number | 6128227441 |
| Mailing Telephone | 6128220149 |
| Mailing Fax Number | 6128227441 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JONATHAN W OLSON (CEO) |
| Authorized Official Telephone | 6128220149 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2735 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS CLINIC ID | 71102NO | 01 |
| Street Address |
5313 LYNDALE AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55419-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801965819 | Jonathan W Olson | Chiropractor | 5313 Lyndale Ave S, Minneapolis, MN 55419-1229 | 2006-11-06 |
| 1336323773 | Judith Elizabeth Swain | Chiropractor | 5313 Lyndale Ave S, Minneapolis, MN 55419-1229 | 2007-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032054 | David Gregg | Internal Medicine | 5305 Humboldt Ave S, Minneapolis, MN 55419 | 2020-01-15 |
| 1972020329 | Michael Daly | Marriage & Family Therapist | 5413 Nicollet Ave # 152, Minneapolis, MN 55419 | 2017-08-26 |
| 1518343946 | Samantha Ruth Praus | Counselor | Wellness Minneapolis, 4450 Nicollet Ave. S., Minneapolis, MN 55419 | 2015-08-07 |
| 1679919104 | Morgan Supinski | Occupational Therapist | 5748 Clinton Ave, Minneapolis, MN 55419 | 2013-05-10 |
| 1720358021 | Jeremy Zellmann | Pharmacist | 6001 Mogan Avenue South, Minneapolis, MN 55419 | 2012-01-04 |
| 1003108895 | Nicollet Dental | Dentist | 6101 Nicollet Ave. So., Minneapolis, MN 55419 | 2011-05-11 |
| 1194056812 | Laura J. Johnson | Social Worker | 410 E 48th St Ste 2, Minneapolis, MN 55419 | 2010-01-20 |
| 1992934392 | Morningsong Therapy Center Inc | Clinic/Center | 25 W. Diamond Lake Road, Minneapolis, MN 55419 | 2009-07-07 |
| 1619118775 | Dr. David Mckay, Dds LLC | Dentist | 4800 Nicollet Ave. S., Minneapolis, MN 55419 | 2009-03-18 |
| 1750553343 | Alex B Lanning | Chiropractor | 5415 Nicollet Ave, Minneapolis, MN 55419 | 2008-03-24 |
| Find all providers in zip 55419 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1750917068 | Minnesota Chiroworks, Pllc | Chiropractor | 125 Se Main St Ste 237, Minneapolis, MN 55414-2278 | 2020-03-18 |
| 1295368850 | First Choice Chiropractic & Rehab Center LLC | Chiropractor | 2929 4th Ave S Ste 103, Minneapolis, MN 55408-2460 | 2020-02-21 |
| 1144869587 | Jaron Michael Faber | Chiropractor | 8921 62nd Ave N, Minneapolis, MN 55428-2630 | 2020-01-02 |
| 1174167845 | Marino Best | Chiropractor | 1221 W Lake St Ste 102, Minneapolis, MN 55408-3398 | 2019-11-05 |
| 1609410984 | Hlikaj Xiong | Chiropractor | 2822 W 43rd St Ste 100, Minneapolis, MN 55410-1696 | 2019-10-30 |
| 1164987228 | Kyle Politz | Chiropractor | 6528 W Lake St Ste D, Minneapolis, MN 55426-4246 | 2019-02-04 |
| 1558833558 | Drew Selnes | Chiropractor | 3211 E 25th St, Minneapolis, MN 55406-1410 | 2019-01-02 |
| 1063984235 | Austin G King | Chiropractor | 7801 E Bush Lake Rd Ste 280, Minneapolis, MN 55439-3144 | 2018-12-27 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55419 |
Please comment or provide details below to improve the information on NOKOMIS CHIROPRACTIC CENTER P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.