Field Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4966 Issued in MN

Legal business name

FIELD CHIROPRACTIC LLC

Practice address

1304 W Lincoln Ave
Fergus Falls, MN 56537-4818

Phone

(218) 998-2881

Fax

(218) 998-2882

NPI assigned

Sep 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jill P Iverson, D.C.NPI 1669672200

Title

Owner

Phone

(218) 998-2881

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fergus Falls Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Jill Patricia Iverson, D.C.

  • Chiropractor
  • Fergus Falls, MN
  • NPI 1669672200
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1013290824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 W LINCOLN AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565374818",
            "telephone_number": "218-998-2881",
            "fax_number": "218-998-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 W LINCOLN AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565374818",
            "telephone_number": "218-998-2881",
            "fax_number": "218-998-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELD CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-998-2881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669672200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fergus Falls Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fergus Falls Medical Group, P.a.
• Fergus Falls Optometric Center, LTD
• Fergus Falls Regional Treatment Center
• Fergus Falls Vision Care PA
• Debra Rose Ferkingstad, RN
• Debra Lynn Field, RN
• Gail Lois Fillmore, RN
• Ashley Lynn Fischer, FNP-BC
• Michelle Fischer
• Amy J Fisher, MAN RN CNP

• Chiropractor in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.