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NORTHSIDE CHIROPRACTIC CLINIC LTD
NPI 1689017097
Chiropractor - Independent Medical Examiner in Minneapolis, MN

Active since April 16, 2013CLIA 24D0907481 · Waiver
3107 PENN AVE N, MINNEAPOLIS, MN 55411(612) 522-0440(612) 522-1816 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northside Chiropractic Clinic Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSIDE CHIROPRACTIC CLINIC LTD (NPI 1689017097) is a healthcare organization registered as an independent medical examiner in Minneapolis, Minnesota and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Greg T Olson, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1689017097
Entity TypeOrganization
Primary Taxonomy111NI0013X
Legal Business NameNORTHSIDE CHIROPRACTIC CLINIC LTD
Location Address3107 PENN AVE NMinneapolis, MN 55411-1123
Mailing Address3107 Penn Ave NMinneapolis, MN 55411-1123 · (612) 522-0440 · Fax (612) 522-1816
Phone(612) 522-0440
Fax(612) 522-1816
Organization SubpartNo
Authorized OfficialGreg T OlsonPresident/ceo · (612) 522-0440
Enumeration DateApril 16, 2013
Last NPPES UpdateJuly 10, 2013
✔ NPI 1689017097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Independent Medical ExaminerChiropractic Providers
Taxonomy Code111NI0013X
License✔ Licensed in MN · 2197
Definition
A chiropractor and special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
3107 PENN AVE N, Minneapolis, MN 55411
Open in Google Maps ↗

Other Identifiers 1

Medicaid890828100MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0907481

Northside Chiropractic Clinic · Minneapolis, MN
Active · expires Oct 15, 2027
CLIA Number24D0907481
Laboratory TypePractitioner Other
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorGreg T. Olson, Dc
Laboratory Phone(612) 522-0440
Laboratory LocationNorthside Chiropractic Clinic3107 Penn Ave N, Minneapolis, MN 55411
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EXCEPTIONAL HOME HEALTH LLC
Home Health
3107 PENN AVE N
MINNEAPOLIS, MN 55411
Hennepin County (612) 521-1854
DR. GREG TODD OLSON DC
Chiropractor
3107 PENN AVE N
MINNEAPOLIS, MN 55411
Hennepin County (612) 522-0440
DR. TARA SELENE WATSON D.C.
Chiropractor
3107 PENN AVE N
MINNEAPOLIS, MN 55411
Hennepin County (612) 521-1386

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northside Chiropractic Clinic Ltd's NPI number?

The NPI number for Northside Chiropractic Clinic Ltd is 1689017097. It was assigned to this organization in the NPPES registry on April 16, 2013.

Where is Northside Chiropractic Clinic Ltd located?

Northside Chiropractic Clinic Ltd is located at 3107 Penn Ave N, Minneapolis, MN 55411. The listed phone number is (612) 522-0440.

What is Northside Chiropractic Clinic Ltd's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Independent Medical Examiner, with taxonomy code 111NI0013X.

Does Northside Chiropractic Clinic Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0907481) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northside Chiropractic Clinic Ltd accept?

Health plans from HealthPartners list Northside Chiropractic Clinic Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northside Chiropractic Clinic Ltd was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.