Craig L Kendall, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

434 Issued in ND

Practice address

305 1St Ave S
Ellendale, ND 58436-0159

Phone

(701) 349-4727

Fax

(701) 349-3033

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ellendale Chiropractic Clinic

  • Chiropractor
  • Ellendale, ND
  • NPI 1912320540
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1003928797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "ELLENDALE",
            "state": "ND",
            "postal_code": "584360159",
            "telephone_number": "701-349-4727",
            "fax_number": "701-349-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 1ST AVE S",
            "city": "ELLENDALE",
            "state": "ND",
            "postal_code": "584360159",
            "telephone_number": "701-349-4727",
            "fax_number": "701-349-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "CRAIG",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015054",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "S1179",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7602400",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellendale Pharmacy Inc
• Evergreen Place
• Abby Gibbs
• Nicole Groenewald, LPN
• Brittanie Rose Hamar, PHARMD
• Nicholas Knight
• Jordan Kulczyk
• Bonnie Kay Lehnhoff
• Valerie B Martin, PA-C
• Jennifer Marie Maus, OTR

• Chiropractor in Ellendale, ND
• Providers in Ellendale, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.